S&C QCOR PRTF 2567s
d QCOR:  Quality, Certification and Oversight Reports.
PRTF 2567s
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Survey Type & Deficiency Tags

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Other Survey Characteristics

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CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 33L015 Parsons Child & Family Center 60 Academy Road Winnie, Lansing A&B Albany NY 2 (New York) 09/30/2020 ZMOE11 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
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
N0165 Monitoring during and after restraint Standard
N0188 Post intervention debriefings Standard
N0115 Individual plan of care Element
N0126 Protection of residents Element
N0132 Protection of residents Element
N0143 Orders for use of restraint or seclusion Element
N0146 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0155 Orders for use of restraint or seclusion Element
N0156 Orders for use of restraint or seclusion Element
N0161 Consultation with treatment team physician Element
N0179 Notification of parent(s) or legal guardian 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
N0208 Facility reporting Element
N0209 Facility reporting Element
N0210 Facility reporting Element
N0222 Education and training Element
▼ 33L016 Sco Family Of Services 85-70 148th Street Units I-V Jamaica NY 2 (New York) 04/28/2022 PE9G11 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
E0030 Names and contact information Standard
E0033 Methods for sharing information Standard
E0037 Ep training program Standard
N0140 Orders for use of restraint or seclusion Standard
N0165 Monitoring during and after restraint Standard
N0188 Post intervention debriefings Standard
N0145 Orders for use of restraint or seclusion Element
N0147 Orders for use of restraint or seclusion Element
N0155 Orders for use of restraint or seclusion Element
N0161 Consultation with treatment team physician Element
N0167 Monitoring during and after restraint Element
N0189 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0221 Education and training Element
N0222 Education and training Element
▼ 33L016 Sco Family Of Services 85-70 148th Street Units I-V Jamaica NY 2 (New York) 05/10/2018 1JM011 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
E0024 Policies/procedures-volunteers and staffing Standard
E0037 Ep training program Standard
N0140 Orders for use of restraint or seclusion Standard
N0160 Consultation with treatment team physician Standard
N0165 Monitoring during and after restraint Standard
N0178 Notification of parent(s) or legal guardian Standard
N0188 Post intervention debriefings Standard
N0145 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0193 Post intervention debriefings Element
N0218 Education and training Element
N0222 Education and training Element
▼ 33L017 Sco Family Of Services/Madonna Heights Services 151 Burrs Lane Dix Hills NY 2 (New York) 04/07/2022 TU6711 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0037 Ep training program Standard
N0141 Orders for use of restraint or seclusion Element
N0146 Orders for use of restraint or seclusion Element
N0151 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
N0208 Facility reporting Element
N0222 Education and training Element
▼ 33L017 Sco Family Of Services/Madonna Heights Services 151 Burrs Lane Dix Hills NY 2 (New York) 04/12/2018 WC5611 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
E0015 Subsistence needs for staff and patients Standard
E0020 Policies for evac. and primary/alt. comm. Standard
E0024 Policies/procedures-volunteers and staffing Standard
E0031 Emergency officials contact information Standard
E0036 Ep training and testing Standard
E0037 Ep training program Standard
N0210 Facility reporting Element
N0222 Education and training Element
▼ 33L018 Villa Of Hope 3300 Dewey Avenue Rochester NY 2 (New York) 12/13/2019 JIFG11 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0009 Local, state, tribal collaboration process Standard
E0018 Procedures for tracking of staff and patients Standard
N0160 Consultation with treatment team physician Standard
N0188 Post intervention debriefings Standard
N0179 Notification of parent(s) or legal guardian Element
N0193 Post intervention debriefings Element
N0197 Medical treatment for injuries Element
N0218 Education and training Element
N0222 Education and training Element
▼ 33L020 Aichhorn Rtf - Brooklyn 2050 Dean Street Brooklyn NY 2 (New York) 05/09/2019 18GW11 Recertification
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
E0007 Ep program patient population Standard
E0009 Local, state, tribal collaboration process 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
E0030 Names and contact information Standard
E0031 Emergency officials contact information Standard
E0033 Methods for sharing information Standard
N0160 Consultation with treatment team physician Standard
N0145 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0179 Notification of parent(s) or legal guardian Element
N0193 Post intervention debriefings Element
N0222 Education and training Element
▼ 33L021 The Child Center Of Ny, Inc 2050 Dean Street Brooklyn NY 2 (New York) 11/17/2022 GHMZ11 Initial Certification
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
N0160 Consultation with treatment team physician Standard
N0165 Monitoring during and after restraint Standard
N0178 Notification of parent(s) or legal guardian Standard
N0188 Post intervention debriefings Standard
N0108 Active treatment Element
N0111 Individual plan of care Element
N0115 Individual plan of care Element
N0118 Team developing individual plan of care Element
N0141 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
N0154 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
N0190 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0197 Medical treatment for injuries Element
N0202 Medical treatment for injuries Element
N0222 Education and training Element
▼ 33L022 Hillside Children's Center 1183 Monroe Ave Rochester NY 2 (New York) 05/10/2023 1E1E11 Initial Certification
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
E0036 Ep training and testing Standard
N0140 Orders for use of restraint or seclusion Standard
N0160 Consultation with treatment team physician Standard
N0188 Post intervention debriefings Standard
N0145 Orders for use of restraint or seclusion Element
N0156 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
N0193 Post intervention debriefings Element
N0208 Facility reporting Element
N0209 Facility reporting Element
N0210 Facility reporting Element
N0222 Education and training Element
▼ 34L018 Oakwood Facility 2002 A, B, D, E & G Shackleford Road Kinston NC 4 (Atlanta) 03/16/2022 GNVJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0207 Facility reporting Element