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
▼ 268505 Austin Plaza Primary Care 108 Frizzell Street, Suite 5 Potosi MO 7 (Kansas City) 05/31/2018 PLIN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0037 Ep Training Program Standard
J0023 Location Of Clinic Standard
J0041 Physical Plant And Environment Standard
▼ 268506 Mercy Hospital Joplin Neosho 2550 Lusk Dr Neosho MO 7 (Kansas City) 06/08/2022 CKZN11 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
J0135 Provision Of Services Standard
▼ 268527 Bourbon Medical Clinic 240 College Road, Po Box 100 Bourbon MO 7 (Kansas City) 02/23/2022 VF1X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
▼ 268532 Callaway Rural Health Clinic 850 W Hospital Drive, Suite F Fulton MO 7 (Kansas City) 04/02/2018 RQRR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
J0058 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0072 Protection of Record Information Standard
▼ 268533 Ob/Gyn Specialty Services 415-A Burkarth Road Warrensburg MO 7 (Kansas City) 10/01/2019 6HES11 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
J0135 Provision Of Services Standard
▼ 268537 Doctor's Clinic 106 West 12th Street Caruthersville MO 7 (Kansas City) 10/23/2023 8MFE11 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
J0101 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
▼ 268539 Hedrick Medical Center 2791 North Washington Street Chillicothe MO 7 (Kansas City) 12/13/2023 UIKL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0101 Staffing And Staff Responsibilities Standard
▼ 268540 Mosaic Specialty Care - West 2016 S Main Street Maryville MO 7 (Kansas City) 09/25/2024 EKHN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 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
▼ 268551 Lexington Medical Clinic 1026 State Street Lexington MO 7 (Kansas City) 01/07/2019 4QPN11 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
▼ 268558 Audrain Comm Clinic Perry 1223 Main Street Perry MO 7 (Kansas City) 01/29/2018 X5MU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard