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

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 268584 Golden Valley Medical - Clinton 1602 N 2nd Street Clinton MO 7 (Kansas City) 11/22/2019 AJJJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
▼ 268590 Southwest Medical Associates 123 Bavarian Hills Plz Hermann MO 7 (Kansas City) 10/18/2021 CX4K11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0044 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
▼ 268597 Och Lawrence County Clinic 108 S Hickory Mount Vernon MO 7 (Kansas City) 07/23/2019 JW9O11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 268598 Bothwell Health Center - Truman Lake 1765 Commercial Street Warsaw MO 7 (Kansas City) 12/10/2025 7I9R11 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
E0037 Ep Training Program Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 268598 Bothwell Health Center - Truman Lake 1765 Commercial Street Warsaw MO 7 (Kansas City) 03/06/2019 BNHN11 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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0135 Provision Of Services Standard
▼ 268602 Hermann Medical Arts 509a W 18th St Hermann MO 7 (Kansas City) 07/24/2019 IS2C11 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
E0037 Ep Training Program Standard
▼ 268606 Family Care Clinic 617 W Nursery St Butler MO 7 (Kansas City) 10/01/2019 1ZV911 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
E0022 Policies/Procedures For Sheltering In Place Standard
E0029 Development Of Communication Plan Standard
E0039 Ep Testing Requirements Standard
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
▼ 268609 Och Webster County Clinic 101 S Main Rogersville MO 7 (Kansas City) 02/13/2019 NLTO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0043 Physical Plant And Environment Standard
J0121 Provision Of Services Standard
▼ 268616 Ozarks Medical Center Mountain View 220 N Elm Street Mountain View MO 7 (Kansas City) 12/01/2020 SWV511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 268623 Womens Health Center 800 Ste Genevieve Drive Sainte Genevieve MO 7 (Kansas City) 07/25/2022 1Y0211 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