S&C QCOR EMTALA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
EMTALA 2567sPlease see here for information and guidance related to the Emergency Medical Treatment & Labor Act (EMTALA).
Selection Criteria

Time Interval

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Provider Characteristics

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Survey Results

Use these filters if you want to limit the report to providers that were cited for specific EMTALA deficiency tag citations. 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).

Facility Name or CCN

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.

CMS Certification Number Facility Name Hospital Subtype Address City State Date of CMS Survey Survey Event ID Survey Type Deficiency Tags Deficiency Descriptions Statement of Deficiencies Report
140289 Anderson Hospital Short Term 6800 State Route 162 Maryville IL 06/03/2013 W35H11 Complaint A2405 Emergency Room Log
Deficiency Tag Deficiency Description Tag Type
A2405 EMERGENCY ROOM LOG Standard
140290 St Alexius Medical Center Short Term 1555 N Barrington Rd Hoffman Estates IL 09/04/2025 MTXJ11 Complaint A2400, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2405 EMERGENCY ROOM LOG Standard
A2406 MEDICAL SCREENING EXAM Standard
140292 Uchicago Medicine Adventhealth Glenoaks Short Term 701 Winthrop Avenue Glendale Heights IL 10/06/2020 XT7611 Complaint A2405 Emergency Room Log
Deficiency Tag Deficiency Description Tag Type
A2405 EMERGENCY ROOM LOG Standard
140294 Deaconess Illinois Crossroads Short Term 8 Doctors Park Rd Mount Vernon IL 03/28/2018 QOBT11 Complaint A2400, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2405 EMERGENCY ROOM LOG Standard
A2406 MEDICAL SCREENING EXAM Standard
140300 Provident Hospital Of Chicago Short Term 500 E 51st St Chicago IL 07/21/2020 2UL511 Complaint A2400, A2402, A2405, A2408 Compliance With 489.24; Delay In Examination Or Treatment; Emergency Room Log; Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2402 POSTING OF SIGNS Standard
A2405 EMERGENCY ROOM LOG Standard
A2408 DELAY IN EXAMINATION OR TREATMENT Standard
141300 Thomas H Boyd Memorial Hospital Critical Access Hospitals 800 School St Carrollton IL 02/26/2026 615L11 Complaint C2400, C2409 Appropriate Transfer; Compliance With 489.24
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2409 APPROPRIATE TRANSFER Standard
141308 Washington County Hospital Critical Access Hospitals 705 S Grand Ave Nashville IL 01/16/2018 87FN11 Complaint C2400, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard
141311 Fairfield Memorial Hospital 1 Critical Access Hospitals 303 N W 11th Street Fairfield IL 07/21/2016 2LWM11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2406 MEDICAL SCREENING EXAM Standard
141313 Mason District Hospital Critical Access Hospitals 615 North Promenade Street,P O Box 530 Havana IL 12/21/2023 KS3S11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2406 MEDICAL SCREENING EXAM Standard
141317 Gibson Community Hospital Critical Access Hospitals 1120 N Melvin Street Gibson City IL 04/18/2013 G62F11 Complaint C2400, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard