S&C QCOR ICF-IID 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 55G830 Curly Anne's Residence 2, Inc. Icf/Dd-N 6617 Rio De Onar Way Elk Grove CA 9 (San Francisco) 08/21/2025 BOCU21 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
E0015 Subsistence needs for staff and patients Standard
E0025 Arrangement with other facilities Standard
E0031 Emergency officials contact information Standard
E0032 Primary/alternate means for communication Standard
E0034 Information on occupancy/needs Standard
E0037 Ep training program Standard
E0039 Ep testing requirements Standard
KS222 Egress doors Standard
KS341 Fire alarm system - installation Standard
KS346 Fire alarm system - out of service Standard
KS347 Smoke detection Standard
KS351 Sprinkler system - installation Standard
KS352 Sprinkler system - supervisory signals Standard
KS353 Sprinkler system - maintenance and testing Standard
KS354 Sprinkler system - out of service Standard
KS711 Evacuation and relocation plan Standard