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
▼ 44L016 Tennessee Clinical Schools 1220 8th Avenue South Nashville TN 4 (Atlanta) 07/28/2026 NJ0511 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
E0004 Develop ep plan, review and update annually Standard
E0006 Plan based on all hazards risk assessment Standard
E0007 Ep program patient population Standard
E0009 Local, state, tribal collaboration process Standard
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
E0029 Development of communication plan Standard
E0030 Names and contact information Standard
E0031 Emergency officials contact information Standard
E0032 Primary/alternate means for communication Standard
E0033 Methods for sharing information Standard
E0034 Information on occupancy/needs Standard
E0036 Ep training and testing Standard
E0037 Ep training program Standard
E0039 Ep testing requirements Standard
▼ 44L016 Tennessee Clinical Schools 1220 8th Avenue South Nashville TN 4 (Atlanta) 11/13/2024 CN3U11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0113 Individual plan of care Element
▼ 44L016 Tennessee Clinical Schools 1220 8th Avenue South Nashville TN 4 (Atlanta) 09/22/2021 OPP911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0205 Facility reporting Standard
N0136 Protection of residents Element
N0144 Orders for use of restraint or seclusion Element
N0161 Consultation with treatment team physician Element
N0222 Education and training Element
▼ 44L018 U.H.S. Of Lakeside Inc. 2911 Brunswick Road Memphis TN 4 (Atlanta) 08/12/2024 ODQN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0133 Protection of residents Element
N0137 Protection of residents Element
▼ 44L018 U.H.S. Of Lakeside Inc. 2911 Brunswick Road Memphis TN 4 (Atlanta) 06/19/2019 HL5311 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
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
N0151 Orders for use of restraint or seclusion Element
N0156 Orders for use of restraint or seclusion Element
N0161 Consultation with treatment team physician Element
N0189 Post intervention debriefings Element
N0193 Post intervention debriefings Element
▼ 44L022 Youth Villages-Deer Valley Highway 412 Linden TN 4 (Atlanta) 09/12/2018 YKXP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0015 Subsistence needs for staff and patients Standard
E0023 Policies/procedures for medical documentation Standard
E0033 Methods for sharing information Standard
E0036 Ep training and testing Standard
E0039 Ep testing requirements Standard
N0165 Monitoring during and after restraint Standard
N0188 Post intervention debriefings Standard
N0133 Protection of residents Element
▼ 44L023 Youth Villages-Center For Intensive Residential Treatment 7426 Memphis Arlington Road Memphis TN 4 (Atlanta) 10/27/2021 NYRF11 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
E0006 Plan based on all hazards risk assessment Standard
E0007 Ep program patient population Standard
E0009 Local, state, tribal collaboration process Standard
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
E0029 Development of communication plan Standard
E0030 Names and contact information Standard
E0031 Emergency officials contact information Standard
E0032 Primary/alternate means for communication Standard
E0033 Methods for sharing information Standard
E0034 Information on occupancy/needs Standard
E0036 Ep training and testing Standard
E0037 Ep training program Standard
E0039 Ep testing requirements Standard
N0133 Protection of residents Element
▼ 44L025 Youth Villages-Memphis Boys Town Campus 7414 Memphis Arlington Road Memphis TN 4 (Atlanta) 03/29/2023 EZVD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0165 Monitoring during and after restraint Standard
N0135 Protection of residents Element
N0156 Orders for use of restraint or seclusion Element
▼ 44L027 Cedar Grove 1640 Lascassas Pike Murfreesboro TN 4 (Atlanta) 04/10/2019 N0KM11 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
N0178 Notification of parent(s) or legal guardian Standard
N0146 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 44L030 Natchez Trace 415 Seven Hawks Lane Waverly TN 4 (Atlanta) 05/03/2023 RWUV11 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
N0189 Post intervention debriefings Element