S&C QCOR FQHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
FQHC 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 FQHC 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
▼ 021823 Iliuliuk Family And Health Services, Inc P O Box 144 Unalaska AK 10 (Seattle) 09/11/2024 CWXZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0060 Organizational structure Condition
J0061 Organizational structure Standard
▼ 031866 United Community Health Center At Freeport Mcmoran Copper And Gold 1260 South Campbell Rd, Building 2 Green Valley AZ 9 (San Francisco) 10/17/2019 994S11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0102 Staffing and staff responsibilities Standard
▼ 031979 Horizon Health And Wellness, Inc 450 West Adamsville Road, Suite A Florence AZ 9 (San Francisco) 08/20/2020 DVBL11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0102 Staffing and staff responsibilities Standard
J0123 Staffing and staff responsibilities Standard
▼ 031984 El Rio Health Center - Cherrybell Center 1230 Cherrybell Stravenue Tucson AZ 9 (San Francisco) 11/13/2019 HBVC11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0121 Provision of services Standard
▼ 051010 Mountain Valleys Health Centers, Inc 37491 Enterprise Drive Burney CA 9 (San Francisco) 03/12/2025 FTN411 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0151 Patient health records Standard
▼ 051117 County Of Stanislaus 401 East Paradise Road, Ste E Modesto CA 9 (San Francisco) 12/26/2023 B1UQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0152 Patient health records Standard
▼ 051172 Clinicas Del Camino Real Inc. El Rio 2600 East Vineyard Avenue Oxnard CA 9 (San Francisco) 08/22/2019 FHNG11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0140 Provision of services Standard
▼ 051808 Ampla Health 355 Samuel Drive Yuba City CA 9 (San Francisco) 05/13/2021 P48O11 Other-Fed
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0044 Physical plant and environment Standard
▼ 051824 Camarena Health 344e 6th St Madera CA 9 (San Francisco) 10/30/2018 LVRK11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0100 Staffing and staff responsibilities Standard
▼ 051931 Salud Para La Gente 204e Beach St Watsonville CA 9 (San Francisco) 01/15/2026 C2T511 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0125 Provision of services Standard