| CMS Certification Number |
Facility Name |
Address |
City |
State |
CMS Region |
Date of CMS Survey |
Survey Event ID |
Survey Type |
Statement of Deficiencies Report |
|
▼
18L040
|
Spectrum Care Academy Bluegrass Ii |
1175 Cane Valley Road |
Columbia |
KY |
4 (Atlanta) |
06/16/2022 |
50KU11 |
Complaint |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| N0000 |
Initial comments - not a deficiency citation |
Memo |
|
| N0101 |
General requirement for prtf |
Standard |
|
| N0108 |
Active treatment |
Element |
|
| N0114 |
Individual plan of care |
Element |
|
|
|
▼
19L001
|
Methodist Children's Home Of Southwest Louisiana |
3029 North Beglis Parkway |
Sulphur |
LA |
6 (Dallas) |
09/09/2022 |
Y28C11 |
Recertification |
|
| 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 |
|
|
|
▼
19L005
|
New Way Of Southwest Louisiana Llc |
2683 Vidrine Road |
Ville Platte |
LA |
6 (Dallas) |
09/12/2023 |
PQPD11 |
Recertification |
|
| 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 |
|
| N0178 |
Notification of parent(s) or legal guardian |
Standard |
|
| N0145 |
Orders for use of restraint or seclusion |
Element |
|
| N0172 |
Monitoring during and after seclusion |
Element |
|
| N0193 |
Post intervention debriefings |
Element |
|
| N0197 |
Medical treatment for injuries |
Element |
|
| N0216 |
Education and training |
Element |
|
| N0218 |
Education and training |
Element |
|
|
|
▼
19L005
|
New Way Of Southwest Louisiana Llc |
2683 Vidrine Road |
Ville Platte |
LA |
6 (Dallas) |
04/10/2019 |
JLMZ11 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial comments - not a deficiency citation |
Memo |
|
| N0000 |
Initial comments - not a deficiency citation |
Memo |
|
| E0023 |
Policies/procedures for medical documentation |
Standard |
|
| E0037 |
Ep training program |
Standard |
|
| N0143 |
Orders for use of restraint or seclusion |
Element |
|
| N0215 |
Education and training |
Element |
|
| N0216 |
Education and training |
Element |
|
| N0217 |
Education and training |
Element |
|
| N0218 |
Education and training |
Element |
|
| N0219 |
Education and training |
Element |
|
|
|
▼
19L006
|
Friends Of Bogalusa |
1640 S Columbia Street, Suite A |
Bogalusa |
LA |
6 (Dallas) |
04/08/2021 |
HBHY11 |
Complaint, Focused Infection Control, Other-Fed, Recertification |
|
| 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 |
|
| N0102 |
Beneficiary and accreditation requirements |
Element |
|
| N0127 |
Protection of residents |
Element |
|
| N0145 |
Orders for use of restraint or seclusion |
Element |
|
| N0179 |
Notification of parent(s) or legal guardian |
Element |
|
| N0210 |
Facility reporting |
Element |
|
|
|
▼
19L008
|
The Maples, Llc |
15555 George O'Neal Rd |
Baton Rouge |
LA |
6 (Dallas) |
01/29/2026 |
SZ4I11 |
Complaint, Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| N0000 |
Initial comments - not a deficiency citation |
Memo |
|
| N0209 |
Facility reporting |
Element |
|
| N0218 |
Education and training |
Element |
|
| N0222 |
Education and training |
Element |
|
|
|
▼
21L001
|
Sheppard Pratt Health System, Inc. |
6501 North Charles Street |
Baltimore |
MD |
3 (Philadelphia) |
02/10/2021 |
BGOK11 |
Complaint |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| N0188 |
Post intervention debriefings |
Standard |
|
| N0222 |
Education and training |
Element |
|
|
|
▼
21L001
|
Sheppard Pratt Health System, Inc. |
6501 North Charles Street |
Baltimore |
MD |
3 (Philadelphia) |
02/14/2019 |
9Q5Y11 |
Complaint |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| N0128 |
Protection of residents |
Element |
|
| N0155 |
Orders for use of restraint or seclusion |
Element |
|
|
|
▼
21L001
|
Sheppard Pratt Health System, Inc. |
6501 North Charles Street |
Baltimore |
MD |
3 (Philadelphia) |
03/08/2018 |
UKI011 |
Complaint |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| N0000 |
Initial comments - not a deficiency citation |
Memo |
|
| N0192 |
Post intervention debriefings |
Element |
|
|
|
▼
21L002
|
Chesapeake Treatment Ctr - New Directions |
2400 Cub Hill Road |
Baltimore |
MD |
3 (Philadelphia) |
01/22/2024 |
CL0G11 |
Complaint |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| N0000 |
Initial comments - not a deficiency citation |
Memo |
|
| N0100 |
Use of restraint and seclusion |
Condition |
|
| N0183 |
Application of time out |
Standard |
|
| N0126 |
Protection of residents |
Element |
|
| N0143 |
Orders for use of restraint or seclusion |
Element |
|
| N0145 |
Orders for use of restraint or seclusion |
Element |
|
| N0156 |
Orders for use of restraint or seclusion |
Element |
|
|