S&C QCOR RHC 2567s
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RHCs 2567s
Selection Criteria ▸

Time Interval

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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 RHC 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
▼ 018908 Tanner Medical Clinic 20104 Swanner Blvd, Suite C Tanner AL 4 (Atlanta) 10/30/2019 0J3J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0062 Organizational Structure Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 018913 Russelville Hospital Family Care First Clinic 11809 Al Hwy 157 Suite E Moulton AL 4 (Atlanta) 11/20/2019 72PB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0062 Organizational Structure Standard
▼ 018916 Rural Primary Care South, Inc 143 White Oak Trail, Suite 2 Warrior AL 4 (Atlanta) 04/05/2023 EKX311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 018917 Fort Payne Pediatrics - Waterworks 1359 Old Waterworks Road Sw Fort Payne AL 4 (Atlanta) 03/22/2023 NIHC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
▼ 018919 Covington Healthcare, Llc 1608a Gilmer Ave Tallassee AL 4 (Atlanta) 07/12/2023 2FOD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 018920 Opelika Pediatrics & Family Clinic Pc 5809 Hwy 280e Opelika AL 4 (Atlanta) 07/26/2023 1WQP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0124 Provision Of Services Standard
J0135 Provision Of Services Standard
▼ 018922 Primary Care Center Of Monroeville 1075 Drewry Road Monroeville AL 4 (Atlanta) 06/01/2023 4Y5011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
▼ 018923 Wilmer Medical Clinic Llc 6353 2nd Street Wilmer AL 4 (Atlanta) 05/18/2023 D6WM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
▼ 018926 Southeast Pediatrics, Pc 804 Crawford Street Tuskegee AL 4 (Atlanta) 03/19/2025 8C0W11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0040 Physical Plant And Environment Condition
J0080 Staffing And Staff Responsibilities Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0081 Staffing And Staff Responsibilities Standard
J0084 Staffing And Staff Responsibilities Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 018927 Somerville Family Medicine 4166 Highway 36 E Somerville AL 4 (Atlanta) 01/04/2024 1N2V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
J0125 Provision Of Services Standard