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

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
▼ 03G006 Arizona Training Program Of Coolidge - 40 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 01/26/2022 KBB911 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0327 Physician services Standard
▼ 03G006 Arizona Training Program Of Coolidge - 40 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 01/26/2022 KBB921 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0345 Fire alarm system - testing and maintenance Standard
K0712 Fire drills Standard
▼ 03G006 Arizona Training Program Of Coolidge - 40 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 11/01/2019 LMKO21 Recertification
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
E0024 Policies/procedures-volunteers and staffing Standard
E0029 Development of communication plan Standard
E0031 Emergency officials contact information Standard
E0034 Information on occupancy/needs Standard
K0353 Sprinkler system - maintenance and testing Standard
K0921 Electrical equipment ? testing and maintenance requirements Standard
▼ 03G006 Arizona Training Program Of Coolidge - 40 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 10/30/2019 LMKO11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0227 Individual program plan Standard
W0240 Individual program plan Standard
▼ 03G006 Arizona Training Program Of Coolidge - 40 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 09/07/2018 GRFH21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0035 Ltc and icf/iid sharing plan with patients Standard
K0211 Means of egress - general Standard
▼ 03G006 Arizona Training Program Of Coolidge - 40 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 09/06/2018 GRFH11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0189 Staff training program Standard
W0227 Individual program plan Standard
W0242 Individual program plan Standard
W0331 Nursing services Standard
W0362 Drug regimen review Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 08/04/2026 2F54FC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
W0149 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 07/29/2026 L66N-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0353 Sprinkler system - maintenance and testing Standard
K0363 Corridor - doors Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 05/15/2026 231BD0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0149 Staff treatment of clients Standard
W0249 Program implementation Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 12/18/2025 4L4811 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0196 Active treatment Standard
W0331 Nursing services Standard