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
▼ 39L113 Southwood Psychiatric Hospital Llc 2576 Boyce Plaza Road Pittsburgh PA 3 (Philadelphia) 07/12/2018 GNBZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0022 Policies/procedures for sheltering in place Standard
E0023 Policies/procedures for medical documentation Standard
E0033 Methods for sharing information Standard
E0037 Ep training program Standard
N0196 Medical treatment for injuries Standard
N0222 Education and training Element
▼ 39L500 Hoffman Homes, Inc. 815 Orphanage Road Littlestown PA 3 (Philadelphia) 06/07/2019 HCW911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0183 Application of time out Standard
N0188 Post intervention debriefings Standard
N0144 Orders for use of restraint or seclusion Element
N0145 Orders for use of restraint or seclusion Element
N0174 Monitoring during and after seclusion Element
N0189 Post intervention debriefings Element
▼ 39L501 Hoffman Homes, Inc. 815 Orphanage Road Littlestown PA 3 (Philadelphia) 07/26/2018 SDMD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0185 Application of time out Element
▼ 39L512 Sarah A. Reed Children's Center, Inc. 2445 West 34th Street Erie PA 3 (Philadelphia) 03/28/2019 WGMP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0154 Orders for use of restraint or seclusion Element
N0156 Orders for use of restraint or seclusion Element
▼ 39L513 Sarah A. Reed Children's Center, Inc. 2445 West 34th Street Erie PA 3 (Philadelphia) 01/24/2019 SSIY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0026 Roles under a waiver declared by secretary Standard
E0032 Primary/alternate means for communication Standard
N0160 Consultation with treatment team physician Standard
N0148 Orders for use of restraint or seclusion Element
N0154 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 39L516 Carson Valley Children's Aid 1419 Bethlehem Pike Flourtown PA 3 (Philadelphia) 05/18/2022 1VYQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
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
E0023 Policies/procedures for medical documentation Standard
E0025 Arrangement with other facilities Standard
E0029 Development of communication plan Standard
E0036 Ep training and testing Standard
E0037 Ep training program Standard
N0140 Orders for use of restraint or seclusion Standard
N0188 Post intervention debriefings Standard
N0207 Facility reporting Element
N0222 Education and training Element
▼ 39L526 Childrens Center For Treatment And Education 585 East Main Street Youngsville PA 3 (Philadelphia) 07/18/2019 52PM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0160 Consultation with treatment team physician Standard
N0166 Monitoring during and after restraint Element
N0167 Monitoring during and after restraint Element
▼ 39L553 Uhs Of Doylestown Llc 833 East Butler Avenue Doylestown PA 3 (Philadelphia) 04/08/2021 XVQE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0188 Post intervention debriefings Standard
N0145 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 39L561 Harborcreek Youth Services 5712 Iroquois Avenue Harborcreek PA 3 (Philadelphia) 01/24/2020 SXSM11 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
E0023 Policies/procedures for medical documentation Standard
E0024 Policies/procedures-volunteers and staffing Standard
E0026 Roles under a waiver declared by secretary Standard
N0143 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
N0156 Orders for use of restraint or seclusion Element
▼ 39L562 Harborcreek Youth Services 5712 Iroquois Avenue Harborcreek PA 3 (Philadelphia) 10/26/2018 SG8H11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0026 Roles under a waiver declared by secretary Standard
N0143 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
N0189 Post intervention debriefings Element