S&C QCOR ICF-IID 2567s
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ICF-IID 2567s
Selection Criteria ▸

Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific ICF-IID deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 01/25/2019 FHYO11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0102 Governing body and management Condition
W0122 Client protections Condition
W0104 Governing body Standard
W0127 Protection of clients rights Standard
W0193 Staff training program Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 02/06/2018 DK1N21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0345 Fire alarm system - testing and maintenance Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 07/15/2026 25CDA0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
W0153 Staff treatment of clients Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 06/11/2026 22E5F5-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0149 Staff treatment of clients Standard
W0331 Nursing services Standard
W0334 Nursing services Standard
W0390 Drug labeling Standard
W0454 Infection control Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 05/18/2026 22E5F5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0347 Smoke detection Standard
K0355 Portable fire extinguishers Standard
K0712 Fire drills Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 02/06/2026 Z08711 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0122 Client protections Condition
W0127 Protection of clients rights Standard
W0150 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 12/06/2024 26HE11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0122 Client protections Condition
W0127 Protection of clients rights Standard
W0150 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
W0154 Staff treatment of clients Standard
W0155 Staff treatment of clients Standard
W0186 Direct care staff Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 10/25/2024 TFZD11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0129 Protection of clients rights Standard
W0186 Direct care staff Standard
W0390 Drug labeling Standard
W0454 Infection control Standard
W0473 Meal services Standard
W0474 Meal services Standard
W0480 Menus Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 09/20/2024 T0RY11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
W0153 Staff treatment of clients Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 08/18/2023 5SH611 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0122 Client protections Condition
W0150 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
W0154 Staff treatment of clients Standard