| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number B03922 | (X3) Date Survey Completed 04/19/2023 |
| Name of Provider or Supplier Minuteman Medicine Llc | Street Address, City, State 17721 Ky Route 122, Hi Hat, KY | |
| 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 initial certification survey was conducted on 04/19/2023. The facility was found to not be in substantial compliance with federal certification requirements related to Rural Health Clinics, with deficiencies cited. |