S&C QCOR FQHC 2567s
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FQHC 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 201824 Katahdin Valley Health Center 30 Houlton Street Patten ME 1 (Boston) 12/22/2023 5WH911 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0122 Provision of services Standard
▼ 201832 Penobscot Community Health Center 1012 Union Street Bangor ME 1 (Boston) 10/26/2023 67IK11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0123 Staffing and staff responsibilities Standard
▼ 201837 The Health Center 175 W Broadway Lincoln ME 1 (Boston) 05/06/2025 PVOY11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0152 Patient health records Standard
▼ 201898 Katahdin Valley Health Center 50 Summer Street Millinocket ME 1 (Boston) 04/16/2025 NOCU11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0123 Staffing and staff responsibilities Standard
▼ 201905 Penobscot Community Health Center 29 Schoodic Dr Belfast ME 1 (Boston) 07/11/2019 871211 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0123 Staffing and staff responsibilities Standard
J0125 Provision of services Standard
J0151 Patient health records Standard
▼ 201918 Portland Community Health Center 100 Brickhill Ave Portland ME 1 (Boston) 10/16/2024 K1GS11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0125 Provision of services Standard
▼ 201947 Sebasticook Family Doctors D/B/A/ Hometown Health Center 291 Williams Road Newport ME 1 (Boston) 01/28/2025 LWVO11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0150 Patient health records Condition
J0153 Patient health records Standard
▼ 231001 Oakland Integrated Healthcare Network 461 W Huron St, Suite 107 Pontiac MI 5 (Chicago) 08/28/2019 SN4J11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0040 Physical plant and environment Condition
J0042 Physical plant and environment Standard
▼ 231020 Detroit Central City Health Center 3427 Woodward Ave Detroit MI 5 (Chicago) 12/09/2020 6JEM11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0120 Provision of services Condition
J0122 Provision of services Standard
▼ 231061 Detroit Central City Community Mental Health, Inc 10 Peterboro Detroit MI 5 (Chicago) 06/06/2025 DKH411 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0120 Provision of services Condition
J0041 Physical plant and environment Standard
J0043 Physical plant and environment Standard
J0122 Provision of services Standard