S&C QCOR PRTF 2567s
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PRTF 2567s
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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
▼ 49L003 Hallmark Youth Care - Richmond 12800 West Creek Parkway Richmond VA 3 (Philadelphia) 11/28/2018 NRNT11 Complaint
Deficiency Tag Deficiency Description Tag Type
N0000 Initial comments - not a deficiency citation Memo
N0110 Individual plan of care Element
N0145 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
▼ 49L012 The Barry Robinson Center 443 Kempsville Road Norfolk VA 3 (Philadelphia) 05/10/2023 6SO111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0222 Education and training Element
▼ 49L012 The Barry Robinson Center 443 Kempsville Road Norfolk VA 3 (Philadelphia) 05/31/2018 1HOJ11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0222 Education and training Element
▼ 49L013 Grafton Berryville Rtc 180 Grafton Lane Berryville VA 3 (Philadelphia) 05/07/2024 4ZJI11 Complaint, 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
E0013 Development of ep policies and procedures Standard
E0029 Development of communication plan Standard
E0037 Ep training program Standard
N0140 Orders for use of restraint or seclusion Standard
N0153 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 49L015 Alice C Tyler Village Of Childhelp 23164 Dragoon Road Lignum VA 3 (Philadelphia) 10/08/2025 4O3X11 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
N0125 Protection of residents Standard
N0188 Post intervention debriefings Standard
N0143 Orders for use of restraint or seclusion Element
N0145 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
N0192 Post intervention debriefings Element
N0193 Post intervention debriefings Element
N0222 Education and training Element
▼ 49L015 Alice C Tyler Village Of Childhelp 23164 Dragoon Road Lignum VA 3 (Philadelphia) 03/24/2022 TSFC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0007 Ep program patient population Standard
E0022 Policies/procedures for sheltering in place 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
E0032 Primary/alternate means for communication Standard
E0034 Information on occupancy/needs Standard
N0120 Covid-19 vaccination of facility staff Standard
▼ 49L022 Riverside Behavioral Health Centers Inc 2244 Executive Drive Hampton VA 3 (Philadelphia) 06/12/2018 YQUO11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
N0189 Post intervention debriefings Element
N0222 Education and training Element
▼ 49L024 Timber Ridge School 1463 New Hope Road Cross Jct VA 3 (Philadelphia) 09/28/2023 WEW111 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
N0140 Orders for use of restraint or seclusion Standard
N0188 Post intervention debriefings Standard
N0156 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element
▼ 49L024 Timber Ridge School 1463 New Hope Road Cross Jct VA 3 (Philadelphia) 09/27/2018 36TX11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0009 Local, state, tribal collaboration process Standard
E0018 Procedures for tracking of staff and patients Standard
E0024 Policies/procedures-volunteers and staffing Standard
E0025 Arrangement with other facilities Standard
E0026 Roles under a waiver declared by secretary Standard
E0030 Names and contact information Standard
E0031 Emergency officials contact information Standard
E0039 Ep testing requirements Standard
N0165 Monitoring during and after restraint Standard
N0145 Orders for use of restraint or seclusion Element
N0148 Orders for use of restraint or seclusion Element
N0167 Monitoring during and after restraint Element
N0189 Post intervention debriefings Element
N0197 Medical treatment for injuries Element
N0209 Facility reporting Element
N0210 Facility reporting Element
N0221 Education and training Element
N0222 Education and training Element
▼ 49L026 Psychiatric Solutions Of Virginia 42005 Victory Lane Leesburg VA 3 (Philadelphia) 04/09/2025 GP8911 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
N0000 Initial comments - not a deficiency citation Memo
E0024 Policies/procedures-volunteers and staffing Standard
N0188 Post intervention debriefings Standard
N0143 Orders for use of restraint or seclusion Element
N0189 Post intervention debriefings Element