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
▼ 55G812 Infinite Blessings Care Home, Inc 23711 Prospect Valley Drive Diamond Bar CA 9 (San Francisco) 09/17/2024 D9F921 Initial Certification
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
E0018 Procedures for tracking of staff and patients Standard
E0024 Policies/procedures-volunteers and staffing Standard
KS211 Means of egress - general Standard
KS300 Protection - other Standard
KS345 Fire alarm system - testing and maintenance Standard
KS511 Utilities - gas and electric Standard
▼ 55G812 Infinite Blessings Care Home, Inc 23711 Prospect Valley Drive Diamond Bar CA 9 (San Francisco) 09/12/2024 D9F911 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0117 Services provided with outside sources Standard
W0121 Services provided with outside sources Standard
W0341 Nursing services Standard
W0362 Drug regimen review Standard
W0369 Drug administration Standard
W0390 Drug labeling Standard
W0454 Infection control Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 07/13/2026 25D486-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0032 Primary/alternate means for communication Standard
E0039 Ep testing requirements Standard
KS353 Sprinkler system - maintenance and testing Standard
KS712 Fire drills Standard
KS741 Smoking regulations Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 12/08/2025 0NV911 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 06/27/2025 6UGZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0152 Staff treatment of clients Standard
W0331 Nursing services Standard
W0362 Drug regimen review Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 06/26/2025 6UGZ21 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
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS363 Corridor - doors Standard
KS712 Fire drills Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 04/09/2025 0SM211 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0263 Program monitoring & change Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 08/21/2024 YKH221 Initial Certification
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
E0039 Ep testing requirements Standard
KS222 Egress doors Standard
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS511 Utilities - gas and electric Standard
KS712 Fire drills Standard
▼ 55G813 Regene Home 1602 Regene Street Pomona CA 9 (San Francisco) 08/14/2024 YKH211 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0108 Compliance w federal, state & local laws Standard
W0149 Staff treatment of clients Standard
W0323 Physician services Standard
W0362 Drug regimen review Standard
W0390 Drug labeling Standard
▼ 55G814 Northridge Manor 9501 Vanalden Ave Northridge CA 9 (San Francisco) 07/31/2026 2CFD7C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0341 Nursing services Standard
W0378 Drug storage and recordkeeping Standard
W0454 Infection control Standard