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
▼ 263933 Piedmont Physician Associates Canyon Rd & Hwy 34, Rt 4 Box 4515 Piedmont MO 7 (Kansas City) 07/10/2018 59C311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
▼ 263934 Mercy Clinic Richland 904 South Pine Street Richland MO 7 (Kansas City) 10/01/2024 S84211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0039 Ep Testing Requirements Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 263935 Kneibert Clinic 686 Lester Street Poplar Bluff MO 7 (Kansas City) 01/28/2021 OSGR11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0124 Provision Of Services Standard
▼ 263935 Kneibert Clinic 686 Lester Street Poplar Bluff MO 7 (Kansas City) 05/29/2019 L2JP11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
▼ 263939 Family Walk In Clinic Of Mountain Grove, Inc 205 W 3rd, Suite 3 Mountain Grove MO 7 (Kansas City) 02/27/2019 GKKF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 263940 Mansfield Clinic 304 West Commerical Mansfield MO 7 (Kansas City) 12/11/2018 KJ8G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0135 Provision Of Services Standard
▼ 263942 Scott City Medical Clinic 2102 Main Street Scott City MO 7 (Kansas City) 10/23/2024 YVNE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0061 Organizational Structure Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 263942 Scott City Medical Clinic 2102 Main Street Scott City MO 7 (Kansas City) 05/16/2023 OWBD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0030 Names And Contact Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 263942 Scott City Medical Clinic 2102 Main Street Scott City MO 7 (Kansas City) 03/26/2018 XCQJ13 Standard
Deficiency Tag Deficiency Description Tag Type
E0022 Policies/Procedures For Sheltering In Place Standard
▼ 263942 Scott City Medical Clinic 2102 Main Street Scott City MO 7 (Kansas City) 02/06/2018 XCQJ11 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
J0019 Physical Plant And Environment Condition
J0020 Location Of Clinic Condition
J0037 Staffing and Staff Responsibilities Condition
J0052 Provision of Services Condition
J0076 Program Evaluation 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
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0021 Location Of Clinic Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0047 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0055 Patient Care Policies Standard
J0056 Patient Care Policies Standard
J0057 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0077 Annual Total Program Evaluation Standard
J0078 Evaluation Review Criteria Standard
J0079 Evaluation Review Criteria Standard
J0081 Staffing And Staff Responsibilities Standard
J0082 Staffing And Staff Responsibilities Standard
J0085 Staffing And Staff Responsibilities Standard
J0086 Staffing And Staff Responsibilities Standard