| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 883828 | (X3) Date Survey Completed 11/25/2025 |
| Name of Provider or Supplier Anew Family Medical Pllc | Street Address, City, State 111 Front Street, Henderson, TN | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| J0000 | An unannounced recertification survey was completed on 9/23/2025 for the Conditions for Coverage for Rural Health Clinics. The entrance conerence was held at 11:00 AM with the OM. The purpose of the visit was explained, and a list of request was provided. An exit conference was held on 9/23/2025, at 3:00 PM with the OM. Deficiencies were cited under 42 CFR 491, Subpart A -Conditions of Participation for Rural Health Clinic. Condition level deficiency was cited under 491.11 Program Evaluation. Exit date amended to 11/25/25 per CMS guidance following federal government shutdown. |