S&C QCOR PRTF 2567s
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PRTF 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 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
▼ 16L008 Four Oaks Family & Children's Services Of Iowa -Smith Center-Pmic 5400 Kirkwood Boulevard Sw Cedar Rapids IA 7 (Kansas City) 06/04/2025 9DOE11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0140 Orders for use of restraint or seclusion Standard
N0145 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
N0202 Medical treatment for injuries Element
N0222 Education and training Element
▼ 16L008 Four Oaks Family & Children's Services Of Iowa -Smith Center-Pmic 5400 Kirkwood Boulevard Sw Cedar Rapids IA 7 (Kansas City) 09/14/2022 FVV911 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0006 Plan based on all hazards risk assessment Standard
E0009 Local, state, tribal collaboration process Standard
E0039 Ep testing requirements Standard
N0101 General requirement for prtf Standard
N0120 Covid-19 vaccination of facility staff Standard
N0140 Orders for use of restraint or seclusion Standard
N0136 Protection of residents Element
N0137 Protection of residents Element
N0145 Orders for use of restraint or seclusion Element
▼ 16L010 Tanager Place-Cook Cottage 2309 C Street Sw Cedar Rapids IA 7 (Kansas City) 02/28/2019 T3ZV11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0178 Notification of parent(s) or legal guardian Standard
N0188 Post intervention debriefings Standard
N0143 Orders for use of restraint or seclusion Element
N0221 Education and training Element
▼ 16L011 Tanager Place-Dutton 2309 C Street Sw Cedar Rapids IA 7 (Kansas City) 01/09/2025 V1H311 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0189 Post intervention debriefings Element
▼ 16L012 Tanager Place-Tomlinson Cottage 2309 C Street Sw Cedar Rapids IA 7 (Kansas City) 01/08/2025 ZKZM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0115 Individual plan of care Element
N0221 Education and training Element
▼ 16L012 Tanager Place-Tomlinson Cottage 2309 C Street Sw Cedar Rapids IA 7 (Kansas City) 09/23/2022 QYWN11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0188 Post intervention debriefings Standard
N0108 Active treatment Element
N0144 Orders for use of restraint or seclusion Element
N0149 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0221 Education and training Element
N0222 Education and training Element
▼ 16L013 Tanager Place-Van Vechten Cottage 2309 C Street Sw Cedar Rapids IA 7 (Kansas City) 09/23/2022 Q24G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0188 Post intervention debriefings Standard
N0108 Active treatment Element
N0115 Individual plan of care Element
N0144 Orders for use of restraint or seclusion Element
N0149 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0221 Education and training Element
N0222 Education and training Element
▼ 16L013 Tanager Place-Van Vechten Cottage 2309 C Street Sw Cedar Rapids IA 7 (Kansas City) 09/26/2018 EQMQ11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0183 Application of time out Standard
N0185 Application of time out Element
▼ 16L016 Orchard Place- Bright House 925 Sw Porter Avenue Des Moines IA 7 (Kansas City) 12/04/2025 4L5Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0178 Notification of parent(s) or legal guardian Standard
N0189 Post intervention debriefings Element
▼ 16L016 Orchard Place- Bright House 925 Sw Porter Avenue Des Moines IA 7 (Kansas City) 05/05/2023 IPYO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0007 Ep program patient population Standard
E0024 Policies/procedures-volunteers and staffing Standard
N0178 Notification of parent(s) or legal guardian Standard
N0218 Education and training Element
N0222 Education and training Element