S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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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 CLIA 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).

CLIA ID and Facility Name

Use these filters if you know the name (or partial name) of 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 Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 04D0469039 Johnson Regional Medical Center 1100 East Poplar Clarksville AR 05/13/2021 ZX0211 Standard
Deficiency Tag Deficiency Description Tag Type
D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES Standard
D5317 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5445 CONTROL PROCEDURES Standard
D5481 CONTROL PROCEDURES Standard
D5781 CORRECTIVE ACTIONS Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0469039 Johnson Regional Medical Center 1100 East Poplar Clarksville AR 03/16/2023 CQVK11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5555 IMMUNOHEMATOLOGY Standard
D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D5805 TEST REPORT Standard
▼ 04D0469039 Johnson Regional Medical Center 1100 East Poplar Clarksville AR 12/11/2024 ZKQY11 Standard
Deficiency Tag Deficiency Description Tag Type
D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT Standard
▼ 04D0469076 Mercy Hospital Paris 500 East Academy Paris AR 02/07/2019 JU6N11 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5555 IMMUNOHEMATOLOGY Standard
▼ 04D0469076 Mercy Hospital Paris 500 East Academy Paris AR 10/20/2021 1I1Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
D6066 TESTING PERSONNEL QUALIFICATIONS Standard
▼ 04D0469076 Mercy Hospital Paris 500 East Academy Paris AR 09/27/2023 IB6S11 Standard
Deficiency Tag Deficiency Description Tag Type
D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5783 CORRECTIVE ACTIONS Standard
D6053 TECHNICAL CONSULTANT RESPONSIBILITIES Standard
▼ 04D0469076 Mercy Hospital Paris 500 East Academy Paris AR 06/12/2025 P5QL11 Standard
Deficiency Tag Deficiency Description Tag Type
D3023 REQUIREMENTS FOR TRANSFUSION SERVICES Standard
D5783 CORRECTIVE ACTIONS Standard
▼ 04D0469265 Oklahoma Blood Institute, Arkansas Blood Institute 5300 South U Street Fort Smith AR 02/23/2018 H15G11 Standard
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2011 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D2013 TESTING OF PROFICIENCY TESTING SAMPLES Standard
D6076 LABORATORY DIRECTOR Condition
D6088 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6089 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6107 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 11/29/2018 ER6Q11 Standard
Deficiency Tag Deficiency Description Tag Type
D5481 CONTROL PROCEDURES Standard
D6013 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard
▼ 04D0469307 Mercy Hospital Booneville 880 West Main Street Booneville AR 06/18/2021 VD3X11 Standard
Deficiency Tag Deficiency Description Tag Type
D5441 CONTROL PROCEDURES Standard
D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES Standard