S&C QCOR PRTF 2567s
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PRTF 2567s
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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
▼ 25L004 Rehabilitation Center, Llc 1814 Highway 15 North Pontotoc MS 4 (Atlanta) 01/14/2021 TBQL11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0140 Orders for use of restraint or seclusion Standard
▼ 25L004 Rehabilitation Center, Llc 1814 Highway 15 North Pontotoc MS 4 (Atlanta) 03/13/2019 1DPR11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0140 Orders for use of restraint or seclusion Standard
N0128 Protection of residents Element
▼ 26L001 Hawthorn Children's Psychiatric Hospital 1901 Pennsylvania Avenue Saint Louis MO 7 (Kansas City) 08/28/2024 P8OH11 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0115 Individual plan of care Element
N0119 Team developing individual plan of care Element
▼ 26L004 Woodridge Of Missouri, Inc. Dba Perimeter Behavioral Of Missouri 1000 Hospital Rd Waynesville MO 7 (Kansas City) 06/03/2025 VSDW11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0125 Protection of residents Standard
N0140 Orders for use of restraint or seclusion Standard
N0160 Consultation with treatment team physician Standard
N0188 Post intervention debriefings Standard
N0127 Protection of residents Element
N0128 Protection of residents Element
N0145 Orders for use of restraint or seclusion Element
N0152 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 27L001 Yellowstone Boys & Girls Ranch 1732 S 72nd St W Billings MT 8 (Denver) 04/25/2024 WRPU11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0037 Ep training program Standard
N0188 Post intervention debriefings Standard
N0196 Medical treatment for injuries Standard
N0145 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0156 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
N0190 Post intervention debriefings Element
N0191 Post intervention debriefings Element
N0192 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0222 Education and training Element
▼ 27L001 Yellowstone Boys & Girls Ranch 1732 S 72nd St W Billings MT 8 (Denver) 07/22/2019 2W2Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0004 Develop ep plan, review and update annually Standard
E0006 Plan based on all hazards risk assessment Standard
E0007 Ep program patient population Standard
E0009 Local, state, tribal collaboration process Standard
E0013 Development of ep policies and procedures Standard
E0015 Subsistence needs for staff and patients Standard
E0018 Procedures for tracking of staff and patients Standard
E0023 Policies/procedures for medical documentation Standard
E0024 Policies/procedures-volunteers and staffing Standard
E0025 Arrangement with other facilities Standard
E0026 Roles under a waiver declared by secretary Standard
E0029 Development of communication plan Standard
E0031 Emergency officials contact information Standard
E0033 Methods for sharing information Standard
E0034 Information on occupancy/needs Standard
E0036 Ep training and testing Standard
E0037 Ep training program Standard
E0039 Ep testing requirements Standard
N0222 Education and training Element
▼ 27L002 Acadia Montana 55 Basin Creek Rd Butte MT 8 (Denver) 05/02/2019 1ZD611 Complaint, Recertification
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
N0126 Protection of residents Element
N0131 Protection of residents Element
N0142 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0155 Orders for use of restraint or seclusion Element
N0179 Notification of parent(s) or legal guardian Element
N0185 Application of time out Element
▼ 27L003 Shodair Residential Treatment Center 2755 Colonial Dr Helena MT 8 (Denver) 07/22/2021 9N4111 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0025 Arrangement with other facilities Standard
▼ 27L003 Shodair Residential Treatment Center 2755 Colonial Dr Helena MT 8 (Denver) 06/03/2021 T8P811 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0108 Active treatment Element
N0210 Facility reporting Element
N0215 Education and training Element
▼ 28L032 Lrc Whitehall Psychiatric Residential Treatment Facility 5845 Huntington Avenue Lincoln NE 7 (Kansas City) 06/15/2023 16NG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0013 Development of ep policies and procedures Standard
E0030 Names and contact information Standard
E0037 Ep training program Standard