S&C QCOR PRTF 2567s
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PRTF 2567s
Selection Criteria ▸

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
▼ 36L001 Buckeye Ranch Inc The 5665 Hoover Road Grove City OH 5 (Chicago) 01/14/2025 PPKQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0188 Post intervention debriefings Standard
▼ 36L001 Buckeye Ranch Inc The 5665 Hoover Road Grove City OH 5 (Chicago) 02/20/2024 7NTK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0006 Plan based on all hazards risk assessment Standard
E0015 Subsistence needs for staff and patients Standard
E0024 Policies/procedures-volunteers and staffing Standard
E0026 Roles under a waiver declared by secretary Standard
E0030 Names and contact information Standard
E0036 Ep training and testing Standard
N0188 Post intervention debriefings Standard
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
N0189 Post intervention debriefings Element
N0208 Facility reporting Element
N0222 Education and training Element
▼ 36L001 Buckeye Ranch Inc The 5665 Hoover Road Grove City OH 5 (Chicago) 12/14/2023 IQLH11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0188 Post intervention debriefings Standard
N0132 Protection of residents Element
▼ 36L002 Belmont Pines Hospital 2282 Reeves Road Ne Warren OH 5 (Chicago) 12/01/2025 BOMU11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0132 Protection of residents Element
▼ 36L002 Belmont Pines Hospital 2282 Reeves Road Ne Warren OH 5 (Chicago) 10/28/2025 HPG711 Initial Certification, Other-Fed, 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
N0156 Orders for use of restraint or seclusion Element
N0207 Facility reporting Element
▼ 37L017 Red River Academy 3400 Deskin Drive Norman OK 6 (Dallas) 12/23/2019 21R811 Recertification
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
N0165 Monitoring during and after restraint Standard
N0188 Post intervention debriefings Standard
N0154 Orders for use of restraint or seclusion Element
N0179 Notification of parent(s) or legal guardian Element
N0193 Post intervention debriefings Element
▼ 38L001 Albertina Kerr Youth And Family Ctr 832 Ne 162nd St Portland OR 10 (Seattle) 06/25/2025 NCBO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0039 Ep testing requirements Standard
N0128 Protection of residents Element
N0145 Orders for use of restraint or seclusion Element
N0147 Orders for use of restraint or seclusion Element
N0149 Orders for use of restraint or seclusion Element
N0222 Education and training Element
▼ 38L002 Parry Center For Children 3415 Se Powell Blvd Portland OR 10 (Seattle) 09/08/2025 K00211 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
N0170 Monitoring during and after seclusion Standard
N0115 Individual plan of care Element
N0149 Orders for use of restraint or seclusion Element
N0156 Orders for use of restraint or seclusion Element
N0218 Education and training Element
N0220 Education and training Element
N0222 Education and training Element
▼ 38L002 Parry Center For Children 3415 Se Powell Blvd Portland OR 10 (Seattle) 10/16/2020 UNFH11 Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0039 Ep testing requirements Standard
N0165 Monitoring during and after restraint Standard
N0170 Monitoring during and after seclusion Standard
N0178 Notification of parent(s) or legal guardian Standard
N0196 Medical treatment for injuries Standard
N0106 Beneficiary and accreditation requirement Element
N0115 Individual plan of care Element
N0136 Protection of residents Element
N0137 Protection of residents Element
N0149 Orders for use of restraint or seclusion Element
N0179 Notification of parent(s) or legal guardian Element
N0222 Education and training Element
▼ 38L009 Children's Farm (Trillium) 4455 Ne Highway 20 Corvallis OR 10 (Seattle) 02/12/2026 22BV11 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
N0160 Consultation with treatment team physician Standard
N0165 Monitoring during and after restraint Standard
N0115 Individual plan of care Element
N0149 Orders for use of restraint or seclusion Element
N0161 Consultation with treatment team physician Element
N0179 Notification of parent(s) or legal guardian Element
N0218 Education and training Element
N0222 Education and training Element