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

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 55G802 Porterville Developmental Center D/P Icf-Dd Star 26501 Avenue 140 Porterville CA 9 (San Francisco) 05/26/2022 BYYL21 Initial Certification
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
E0039 Ep testing requirements Standard
KS222 Egress doors Standard
KS363 Corridor - doors Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 04/28/2026 22F5A4-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0009 Local, state, tribal collaboration process Standard
E0037 Ep training program Standard
KS347 Smoke detection Standard
KS353 Sprinkler system - maintenance and testing Standard
KS711 Evacuation and relocation plan Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 04/24/2026 22F5A4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0140 Client finances Standard
W0159 Qidp Standard
W0196 Active treatment Standard
W0247 Individual program plan Standard
W0249 Program implementation Standard
W0261 Program monitoring & change Standard
W0322 Physician services Standard
W0331 Nursing services Standard
W0339 Nursing services Standard
W0341 Nursing services Standard
W0342 Nursing services Standard
W0369 Drug administration Standard
W0382 Drug storage and recordkeeping Standard
W0454 Infection control Standard
W0472 Meal services Standard
W0474 Meal services Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 02/05/2026 4YLY11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0111 Client records Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 09/26/2025 BXGI11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 09/10/2025 DQUX11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0368 Drug administration Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 06/10/2025 XEPU11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0368 Drug administration Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 04/02/2025 DJY521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS222 Egress doors Standard
KS345 Fire alarm system - testing and maintenance Standard
KS363 Corridor - doors Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 03/27/2025 DJY511 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0120 Services provided with outside sources Standard
W0159 Qidp Standard
W0196 Active treatment Standard
W0331 Nursing services Standard
W0339 Nursing services Standard
W0341 Nursing services Standard
W0348 Dental services Standard
W0460 Food and nutrition services Standard
W0472 Meal services Standard
W0474 Meal services Standard
▼ 55G804 Lorane Way 1592 W Lorane Way Anaheim CA 9 (San Francisco) 02/20/2025 22RU11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0331 Nursing services Standard