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
▼ 751902 Kcs Inc. 7212 Orangethorpe Ave, Ste 9a Buena Park CA 9 (San Francisco) 03/11/2022 UWR911 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0124 Provision of services Standard
▼ 781926 Grand Prairie Services 450 W 14th St Chicago Heights IL 5 (Chicago) 09/16/2020 8YZR11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0043 Physical plant and environment Standard
▼ 921140 Community Health Systems, Inc 18651 Valley Blvd Bloomington CA 9 (San Francisco) 03/04/2021 2HSR11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0061 Organizational structure Standard
▼ 921188 Benevolence Industries Inc. 805 West La Veta Avenue, Suite 110 Orange CA 9 (San Francisco) 01/29/2026 3UTM11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0153 Patient health records Standard
▼ 921195 Omni Family Health 1701 Stine Road Bakersfield CA 9 (San Francisco) 03/27/2025 EP0H11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0151 Patient health records Standard
▼ 921806 Northeast Community Clinic 1414 South Grand Avenue, Suite 456 Los Angeles CA 9 (San Francisco) 05/30/2024 6P1811 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0122 Provision of services Standard
▼ 921838 Altamed Health Services Corporation 1325 North Anaheim Blvd, Suite 101 Anaheim CA 9 (San Francisco) 10/30/2024 2RRN11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0124 Provision of services Standard
▼ 921916 Redding Rancheria 4174 Ashby Ct Shasta Lake CA 9 (San Francisco) 02/28/2022 7D9F11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0044 Physical plant and environment Standard
▼ 921979 Clinica Sierra Vista 425 Del Sol Parkway Delano CA 9 (San Francisco) 08/08/2023 2L9S11 Other-Fed
Deficiency Tag Deficiency Description Tag Type
J0000 Initial comments - not a deficiency citation Memo
J0152 Patient health records Standard