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
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 07/28/2023 54OR11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0186 Direct care staff Standard
W0251 Program implementation Standard
W0369 Drug administration Standard
W0371 Drug administration Standard
W0454 Infection control Standard
W0480 Menus Standard
W0488 Dining areas and service Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 06/20/2022 FRK211 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0508 Covid-19 vaccination of facility staff Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 05/04/2022 FT9O11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0341 Nursing services Standard
W0411 Client bedrooms Standard
W0454 Infection control Standard
W0480 Menus Standard
W0508 Covid-19 vaccination of facility staff Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 04/20/2021 U0FB11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0341 Nursing services Standard
W0369 Drug administration Standard
W0411 Client bedrooms Standard
W0454 Infection control Standard
W0472 Meal services Standard
W0473 Meal services Standard
W0474 Meal services Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 09/01/2020 6NMG11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0285 Mgmt of inappropriate client behavior Standard
W0341 Nursing services Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 02/27/2020 TKV311 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0153 Staff treatment of clients Standard
W0336 Nursing services Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 06/19/2019 OE9N11 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
W0109 Compliance w federal, state & local laws Standard
W0127 Protection of clients rights Standard
W0153 Staff treatment of clients Standard
W0154 Staff treatment of clients Standard
W0155 Staff treatment of clients Standard
W0249 Program implementation Standard
W0341 Nursing services Standard
W0369 Drug administration Standard
W0378 Drug storage and recordkeeping Standard
W0392 Drug labeling Standard
W0411 Client bedrooms Standard
W0460 Food and nutrition services Standard
W0466 Food and nutrition services Standard
W0473 Meal services Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 05/08/2019 OE9N21 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) 06/15/2018 CK3111 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0102 Governing body and management Condition
W0122 Client protections Condition
W0104 Governing body Standard
W0111 Client records Standard
W0127 Protection of clients rights Standard
W0149 Staff treatment of clients Standard
▼ 04G004 Conway Human Development Center 150 East Siebenmorgen Rd Conway AR 6 (Dallas) 05/04/2018 FI0Z11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0102 Governing body and management Condition
W0318 Health care services Condition
W0104 Governing body Standard
W0104 Governing body Standard
W0154 Staff treatment of clients Standard
W0157 Staff treatment of clients Standard
W0262 Program monitoring & change Standard
W0263 Program monitoring & change Standard
W0314 Drug usage Standard
W0331 Nursing services Standard
W0368 Drug administration Standard
W0369 Drug administration Standard
W0377 Drug storage and recordkeeping Standard
W0378 Drug storage and recordkeeping Standard
W0385 Drug storage and recordkeeping Standard
W0411 Client bedrooms Standard
W0454 Infection control Standard
W0473 Meal services Standard