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
▼ 511822 Raleigh Boone Medical Center 37456 Coal River Road Whitesville WV 3 (Philadelphia) 05/09/2022 951411 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0110 Covid-19 vaccination of facility staff Standard
J0152 Patient health records Standard
▼ 531814 Community Health Center Of Central Wyoming, Inc 5647 Us Hwy 26 Dubois WY 8 (Denver) 10/19/2018 IROY11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0085 Staffing and staff responsibilities Standard
▼ 551082 Central City Community Health Center Inc 2237 West Ball Road Anaheim CA 9 (San Francisco) 05/10/2019 577Z11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0044 Physical plant and environment Standard
▼ 551185 Community Health Centers, Arbor 1418 E Main St Ste 210 Santa Maria CA 9 (San Francisco) 06/07/2018 Y2IB11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0072 Protection of record information Standard
▼ 551841 San Benito Health Foundation 351 Felice Drive Hollister CA 9 (San Francisco) 08/04/2022 BIN811 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0123 Staffing and staff responsibilities Standard
▼ 551842 Hill Country Community Clinic 29632 Highway 299 E Round Mountain CA 9 (San Francisco) 02/05/2026 EFB411 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0151 Patient health records Standard
▼ 551868 Chapa De Indian Health Program 1350 E Main Street Grass Valley CA 9 (San Francisco) 10/13/2021 2T2I11 Other-Fed
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0044 Physical plant and environment Standard
▼ 551873 Family Healthcare Network-Visalia 501 North Bridge Street Visalia CA 9 (San Francisco) 04/15/2025 YFMR11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0124 Provision of services Standard
▼ 551880 Shingletown Medical Center, Inc 31292 Alpine Meadows Road Shingletown CA 9 (San Francisco) 12/18/2025 CPKV11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0125 Provision of services Standard
▼ 551927 Asian Pacific Health Care Venture, Inc-Los Feliz Health Center 1530 Hillhurst Avenue, Suite 200 Los Angeles CA 9 (San Francisco) 04/15/2021 L7KJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0153 Patient health records Standard