S&C QCOR ICF-IID 2567s
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ICF-IID 2567s
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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
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 03/02/2026 IDM611 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0108 Compliance w federal, state & local laws Standard
W0368 Drug administration Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 01/13/2026 I14U11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0249 Program implementation Standard
W0263 Program monitoring & change Standard
W0331 Nursing services Standard
W0339 Nursing services Standard
W0385 Drug storage and recordkeeping Standard
W0391 Drug labeling Standard
W0454 Infection control Standard
W0473 Meal services Standard
W0488 Dining areas and service Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 01/09/2025 8P8L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0006 Plan based on all hazards risk assessment Standard
E0032 Primary/alternate means for communication Standard
E0039 Ep testing requirements Standard
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS712 Fire drills Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 01/07/2025 8P8L11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0130 Protection of clients rights Standard
W0369 Drug administration Standard
W0473 Meal services Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 02/21/2024 326221 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS300 Protection - other Standard
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS500 Building services - other Standard
KS511 Utilities - gas and electric Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 02/14/2024 326211 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0107 Compliance w federal, state & local laws Standard
W0129 Protection of clients rights Standard
W0249 Program implementation Standard
W0331 Nursing services Standard
W0339 Nursing services Standard
W0382 Drug storage and recordkeeping Standard
W0390 Drug labeling Standard
W0426 Client bathrooms Standard
W0454 Infection control Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 01/04/2023 2M8111 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0122 Client protections Condition
W0149 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
W0454 Infection control Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 10/19/2021 DXV321 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0031 Emergency officials contact information Standard
KS343 Fire alarm system - notification Standard
KS351 Sprinkler system - installation Standard
KS353 Sprinkler system - maintenance and testing Standard
KS362 Corridors - construction of walls Standard
KS511 Utilities - gas and electric Standard
▼ 55G796 Vista Division 6760 Olympia Drive Riverside CA 9 (San Francisco) 10/14/2021 DXV311 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0252 Program documentation Standard
W0369 Drug administration Standard
W0454 Infection control Standard
▼ 55G797 Cg Estepa Care Home 2, Inc 12800 Thornberg Way Rancho Cordova CA 9 (San Francisco) 04/30/2026 22F43C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS363 Corridor - doors Standard