S&C QCOR PRTF 2567s
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PRTF 2567s
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Time Interval

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Provider Characteristics

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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
▼ 28L032 Lrc Whitehall Psychiatric Residential Treatment Facility 5845 Huntington Avenue Lincoln NE 7 (Kansas City) 08/04/2020 TUXF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0125 Protection of residents Standard
▼ 28L032 Lrc Whitehall Psychiatric Residential Treatment Facility 5845 Huntington Avenue Lincoln NE 7 (Kansas City) 09/17/2018 TRRX11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0125 Protection of residents Standard
N0155 Orders for use of restraint or seclusion Element
▼ 28L053 Nova Treatment Community 8502 Mormon Bridge Road Omaha NE 7 (Kansas City) 08/15/2024 I21O11 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
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
E0020 Policies for evac. and primary/alt. comm. Standard
E0022 Policies/procedures for sheltering in place 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
E0036 Ep training and testing Standard
E0037 Ep training program Standard
E0039 Ep testing requirements Standard
▼ 28L053 Nova Treatment Community 8502 Mormon Bridge Road Omaha NE 7 (Kansas City) 08/18/2021 RH6H11 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0006 Plan based on all hazards risk assessment Standard
E0007 Ep program patient population Standard
E0018 Procedures for tracking of staff and patients Standard
E0023 Policies/procedures for medical documentation Standard
E0029 Development of communication plan Standard
▼ 33L001 August Aichhorn Center 23 West 106th Street Manhattan NY 2 (New York) 11/29/2018 XO5911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
E0004 Develop ep plan, review and update annually Standard
E0013 Development of ep policies and procedures Standard
E0029 Development of communication plan Standard
E0036 Ep training and testing Standard
N0160 Consultation with treatment team physician Standard
N0148 Orders for use of restraint or seclusion Element
N0179 Notification of parent(s) or legal guardian Element
N0193 Post intervention debriefings Element
N0210 Facility reporting Element
N0221 Education and training Element
▼ 33L002 Baker Hall, Inc. 150 Martin Road Lackawanna NY 2 (New York) 10/20/2022 5BH811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
E0004 Develop ep plan, review and update annually Standard
N0160 Consultation with treatment team physician Standard
N0165 Monitoring during and after restraint Standard
N0188 Post intervention debriefings Standard
N0143 Orders for use of restraint or seclusion Element
N0145 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
N0189 Post intervention debriefings Element
N0190 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0202 Medical treatment for injuries Element
N0207 Facility reporting Element
N0219 Education and training Element
N0222 Education and training Element
▼ 33L002 Baker Hall, Inc. 150 Martin Road Lackawanna NY 2 (New York) 10/25/2019 U2DL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
E0004 Develop ep plan, review and update annually Standard
E0013 Development of ep policies and procedures Standard
E0029 Development of communication plan Standard
E0036 Ep training and testing Standard
N0140 Orders for use of restraint or seclusion Standard
N0160 Consultation with treatment team physician Standard
N0178 Notification of parent(s) or legal guardian Standard
N0188 Post intervention debriefings Standard
N0145 Orders for use of restraint or seclusion Element
N0179 Notification of parent(s) or legal guardian Element
N0189 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0197 Medical treatment for injuries Element
N0208 Facility reporting Element
N0210 Facility reporting Element
N0218 Education and training Element
N0221 Education and training Element
N0222 Education and training Element
▼ 33L003 Astor Home For Children 6339 Mill Street Rhinebeck NY 2 (New York) 10/22/2020 2EH211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
E0004 Develop ep plan, review and update annually Standard
E0013 Development of ep policies and procedures Standard
E0029 Development of communication plan Standard
E0036 Ep training and testing Standard
N0178 Notification of parent(s) or legal guardian Standard
N0126 Protection of residents Element
N0130 Protection of residents 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
N0161 Consultation with treatment team physician Element
N0179 Notification of parent(s) or legal guardian Element
N0202 Medical treatment for injuries Element
N0208 Facility reporting Element
N0210 Facility reporting Element
N0222 Education and training Element
▼ 33L004 Crestwood Children's Center , Inc. 2075 Scottsville Road, Olympia And Valhalla Cottag Rochester NY 2 (New York) 10/26/2023 839211 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
N0100 Use of restraint and seclusion Condition
E0013 Development of ep policies and procedures Standard
E0036 Ep training and testing Standard
N0140 Orders for use of restraint or seclusion Standard
N0165 Monitoring during and after restraint Standard
N0178 Notification of parent(s) or legal guardian Standard
N0188 Post intervention debriefings Standard
N0143 Orders for use of restraint or seclusion Element
N0144 Orders for use of restraint or seclusion Element
N0145 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0149 Orders for use of restraint or seclusion Element
N0166 Monitoring during and after restraint Element
N0167 Monitoring during and after restraint Element
N0189 Post intervention debriefings Element
N0190 Post intervention debriefings Element
N0191 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0222 Education and training Element
▼ 33L004 Crestwood Children's Center , Inc. 2075 Scottsville Road, Olympia And Valhalla Cottag Rochester NY 2 (New York) 05/27/2021 2VD711 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
N0100 Use of restraint and seclusion Condition
E0004 Develop ep plan, review and update annually Standard
N0140 Orders for use of restraint or seclusion Standard
N0188 Post intervention debriefings Standard
N0126 Protection of residents Element
N0134 Protection of residents Element
N0151 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
N0190 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0202 Medical treatment for injuries Element
N0207 Facility reporting Element
N0209 Facility reporting Element
N0210 Facility reporting Element
N0222 Education and training Element