Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 883844 (X3) Date Survey Completed 04/01/2026
Name of Provider or Supplier Wtpc, Llc Street Address, City, State 541 West Park. Place, 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 A Recertification survey was completed on 4/1/2026. The Rural Health Clinic (RHC) was found to have Standard level deficiencies for non-compliance with the regulations that govern RHCs.