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
▼ 55G816 Sunrise Premier Homes 13831 Ruther Avenue Paramount CA 9 (San Francisco) 10/03/2024 8G4F21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS363 Corridor - doors Standard
▼ 55G816 Sunrise Premier Homes 13831 Ruther Avenue Paramount CA 9 (San Francisco) 10/01/2024 8G4F11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0189 Staff training program Standard
W0353 Comprehensive dental diagnostic service Standard
W0362 Drug regimen review Standard
W0440 Evacuation drills Standard
▼ 55G816 Sunrise Premier Homes 13831 Ruther Avenue Paramount CA 9 (San Francisco) 02/15/2024 GBQV11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0123 Protection of clients rights Standard
W0369 Drug administration Standard
▼ 55G817 Alisal Care Home 1716 W Alisal Street West Covina CA 9 (San Francisco) 07/21/2026 284F0E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0025 Arrangement with other facilities Standard
E0032 Primary/alternate means for communication Standard
E0037 Ep training program Standard
KS341 Fire alarm system - installation Standard
KS346 Fire alarm system - out of service Standard
KS353 Sprinkler system - maintenance and testing Standard
KS354 Sprinkler system - out of service Standard
KS712 Fire drills Standard
KS741 Smoking regulations Standard
▼ 55G817 Alisal Care Home 1716 W Alisal Street West Covina CA 9 (San Francisco) 07/15/2026 284F0E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0124 Protection of clients rights Standard
W0190 Staff training program Standard
W0339 Nursing services Standard
W0391 Drug labeling Standard
W0392 Drug labeling Standard
W0454 Infection control Standard
▼ 55G817 Alisal Care Home 1716 W Alisal Street West Covina CA 9 (San Francisco) 07/10/2025 JUPU11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0206 Individual program plan Standard
W0369 Drug administration Standard
W0391 Drug labeling Standard
W0454 Infection control Standard
▼ 55G817 Alisal Care Home 1716 W Alisal Street West Covina CA 9 (San Francisco) 07/09/2025 JUPU21 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
E0020 Policies for evac. and primary/alt. comm. Standard
E0025 Arrangement with other facilities Standard
KS346 Fire alarm system - out of service Standard
KS354 Sprinkler system - out of service Standard
KS751 Draperies, curtains, and loosely hanging fabr Standard
▼ 55G818 Golden Dreams Icf 1405 W Stockwell Street Compton CA 9 (San Francisco) 08/05/2025 WQUK21 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
▼ 55G818 Golden Dreams Icf 1405 W Stockwell Street Compton CA 9 (San Francisco) 08/02/2024 N4IH11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0331 Nursing services Standard
▼ 55G819 Best Care Homes, Inc. 13551 Yockey St Garden Grove CA 9 (San Francisco) 04/02/2026 22C746-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0331 Nursing services Standard
W0368 Drug administration Standard