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
▼ 43L001 Black Hills Children's Home 24100 S Rockerville Rd Rapid City SD 8 (Denver) 02/15/2019 D9R711 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
N0100 Use of restraint and seclusion Condition
N0214 Education and training Standard
▼ 43L006 Summit Oaks Center 621 Presentation Street Sioux Falls SD 8 (Denver) 10/14/2022 H38Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0214 Education and training Standard
▼ 43L008 Aurora Plains Academy 1400 E 10th Street Plankinton SD 8 (Denver) 09/30/2020 H2RE11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0140 Orders for use of restraint or seclusion Standard
N0132 Protection of residents Element
N0222 Education and training Element
▼ 43L008 Aurora Plains Academy 1400 E 10th Street Plankinton SD 8 (Denver) 03/04/2020 NJ6711 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0165 Monitoring during and after restraint Standard
N0188 Post intervention debriefings Standard
N0145 Orders for use of restraint or seclusion Element
N0161 Consultation with treatment team physician Element
N0166 Monitoring during and after restraint Element
N0167 Monitoring during and after restraint Element
N0179 Notification of parent(s) or legal guardian Element
N0189 Post intervention debriefings Element
N0197 Medical treatment for injuries Element
N0218 Education and training Element
▼ 43L008 Aurora Plains Academy 1400 E 10th Street Plankinton SD 8 (Denver) 06/21/2019 3T7C11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0160 Consultation with treatment team physician Standard
N0178 Notification of parent(s) or legal guardian Standard
N0129 Protection of residents Element
N0143 Orders for use of restraint or seclusion Element
N0145 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 43L011 Abbott House Inc 909 Court Merrill Post Office Box 700 Mitchell SD 8 (Denver) 06/07/2021 DO4O11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0218 Education and training Element
▼ 43L011 Abbott House Inc 909 Court Merrill Post Office Box 700 Mitchell SD 8 (Denver) 03/04/2021 KVJ811 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0183 Application of time out Standard
N0126 Protection of residents Element
N0185 Application of time out Element
▼ 43L011 Abbott House Inc 909 Court Merrill Post Office Box 700 Mitchell SD 8 (Denver) 11/25/2019 5YXF11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0100 Use of restraint and seclusion Condition
N0198 Medical treatment for injuries Element
N0215 Education and training Element
N0220 Education and training Element
▼ 43L012 Our Home, Inc 40354 210th Street Huron SD 8 (Denver) 03/12/2019 J6XY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
N0152 Orders for use of restraint or seclusion Element
N0185 Application of time out Element
▼ 43L013 Our Home, Inc Residential Treatment 103 W Maple Street Parkston SD 8 (Denver) 03/19/2021 T1MV11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0001 Establishment of the emergency program (ep) Condition
N0100 Use of restraint and seclusion Condition
N0214 Education and training Standard