S&C QCOR PRTF 2567s
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PRTF 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 PRTF 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
▼ 10L014 Sandy Pines 11301 Se Tequesta Terrace Tequesta FL 4 (Atlanta) 02/22/2019 3D6A11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0189 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0198 Medical treatment for injuries Element
N0208 Facility reporting Element
▼ 10L016 Palm Shores Behavioral Health Center Sipp 1324 37th Ave E Bradenton FL 4 (Atlanta) 06/04/2026 6BNK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0125 Protection of residents Standard
N0131 Protection of residents Element
N0172 Monitoring during and after seclusion Element
▼ 10L016 Palm Shores Behavioral Health Center Sipp 1324 37th Ave E Bradenton FL 4 (Atlanta) 06/20/2023 HZWY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0036 Ep training and testing Standard
N0218 Education and training Element
▼ 10L018 Global Medical And Behavioral Corporation 2467 Raven Rd Avon Park FL 4 (Atlanta) 01/27/2022 VBFO11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0188 Post intervention debriefings Standard
N0143 Orders for use of restraint or seclusion Element
N0145 Orders for use of restraint or seclusion Element
N0146 Orders for use of restraint or seclusion Element
N0147 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0151 Orders for use of restraint or seclusion Element
N0155 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
▼ 11L001 Uhs Of Savannah, Llc 1150 Cornell Avenue Savannah GA 4 (Atlanta) 04/14/2022 LDUG11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0140 Orders for use of restraint or seclusion Standard
N0196 Medical treatment for injuries Standard
N0126 Protection of residents Element
N0128 Protection of residents Element
N0132 Protection of residents Element
N0145 Orders for use of restraint or seclusion Element
▼ 11L004 Youth Villages, Inc. 4685 Dorsett Shoals Road Douglasville GA 4 (Atlanta) 07/10/2025 O6UT11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0170 Monitoring during and after seclusion Standard
N0126 Protection of residents Element
▼ 11L004 Youth Villages, Inc. 4685 Dorsett Shoals Road Douglasville GA 4 (Atlanta) 02/25/2025 DCCF11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0170 Monitoring during and after seclusion Standard
N0207 Facility reporting Element
▼ 11L004 Youth Villages, Inc. 4685 Dorsett Shoals Road Douglasville GA 4 (Atlanta) 01/27/2021 SU2611 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0101 General requirement for prtf Standard
N0132 Protection of residents Element
▼ 13L001 Eastern Idaho Health Services 2280 East 25th Street Idaho Falls ID 10 (Seattle) 01/10/2019 7JFQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0006 Plan based on all hazards risk assessment Standard
E0009 Local, state, tribal collaboration process Standard
E0013 Development of ep policies and procedures Standard
E0020 Policies for evac. and primary/alt. comm. Standard
E0025 Arrangement with other facilities Standard
E0030 Names and contact information Standard
E0042 Integrated ep program Standard
N0207 Facility reporting Element
▼ 14L007 Cornell Interventions Woodridge 2221 64th Street Woodridge IL 5 (Chicago) 12/21/2023 0UJY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0107 Beneficiary and accreditation requirement Element
N0118 Team developing individual plan of care Element
N0119 Team developing individual plan of care Element
N0207 Facility reporting Element