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
▼ 55G809 Melvin Haber House 12840 Cactus Drive Desert Hot Springs CA 9 (San Francisco) 01/09/2019 4J0D11 Other-Fed
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0339 Nursing services Standard
W0454 Infection control Standard
▼ 55G809 Melvin Haber House 12840 Cactus Drive Desert Hot Springs CA 9 (San Francisco) 10/16/2018 CZA511 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0368 Drug administration Standard
▼ 55G809 Melvin Haber House 12840 Cactus Drive Desert Hot Springs CA 9 (San Francisco) 08/17/2018 C6F211 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0250 Program implementation Standard
▼ 55G809 Melvin Haber House 12840 Cactus Drive Desert Hot Springs CA 9 (San Francisco) 04/04/2018 N79321 Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0004 Develop ep plan, review and update annually Standard
E0029 Development of communication plan Standard
E0039 Ep testing requirements Standard
KS711 Evacuation and relocation plan Standard
▼ 55G809 Melvin Haber House 12840 Cactus Drive Desert Hot Springs CA 9 (San Francisco) 02/07/2018 N79311 Other-Fed
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0249 Program implementation Standard
W0382 Drug storage and recordkeeping Standard
W0454 Infection control Standard
▼ 55G810 Morning Glory Facility Plus, Inc. 13243 Corrigan Ave Downey CA 9 (San Francisco) 08/03/2026 2D00C0-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0039 Ep testing requirements Standard
KS353 Sprinkler system - maintenance and testing Standard
KS363 Corridor - doors Standard
▼ 55G810 Morning Glory Facility Plus, Inc. 13243 Corrigan Ave Downey CA 9 (San Francisco) 07/30/2026 2D00C0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0189 Staff training program Standard
W0237 Individual program plan Standard
W0454 Infection control Standard
▼ 55G810 Morning Glory Facility Plus, Inc. 13243 Corrigan Ave Downey CA 9 (San Francisco) 08/12/2025 WOPW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS353 Sprinkler system - maintenance and testing Standard
KS511 Utilities - gas and electric Standard
▼ 55G810 Morning Glory Facility Plus, Inc. 13243 Corrigan Ave Downey CA 9 (San Francisco) 08/07/2025 WOPW11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0331 Nursing services Standard
W0426 Client bathrooms Standard
▼ 55G810 Morning Glory Facility Plus, Inc. 13243 Corrigan Ave Downey CA 9 (San Francisco) 09/12/2024 PRX111 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0454 Infection control Standard