S&C QCOR RHC 2567s
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RHCs 2567s
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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
▼ 283408 Webster County Clinic P O Box 465, 6th & Franklin Sts Red Cloud NE 7 (Kansas City) 02/23/2018 QRE812 Standard
Deficiency Tag Deficiency Description Tag Type
J0022 Location Of Clinic Standard
J0061 Organizational Structure Standard
J0086 Staffing And Staff Responsibilities Standard
▼ 283415 Wymore Medical Clinic 116 East H Street Wymore NE 7 (Kansas City) 06/06/2019 PHV211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0081 Staffing And Staff Responsibilities Standard
J0100 Staffing And Staff Responsibilities Standard
▼ 283441 Quality Healthcare Services Medical Clinic 903 Bailey Street Stratton NE 7 (Kansas City) 01/04/2022 8XFO11 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
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0162 Program Evaluation Standard
▼ 283456 Franciscan Healthcare Oakland Clinic 211 North Engdahl Ave Oakland NE 7 (Kansas City) 08/14/2019 TJ0U11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0161 Program Evaluation Standard
▼ 283465 Vchs Medical Clinic 2707 L Street, Suite 1 Ord NE 7 (Kansas City) 04/25/2023 SMSS11 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
▼ 283466 Avera Medical Group Verdigre 401 James Street Verdigre NE 7 (Kansas City) 04/03/2024 TIXE11 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
▼ 283466 Avera Medical Group Verdigre 401 James Street Verdigre NE 7 (Kansas City) 02/23/2018 3MCI12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0022 Location Of Clinic Standard
▼ 283467 Greater Nebraska Medical & Surgical Serv-Hyannis 111 South Main Street Hyannis NE 7 (Kansas City) 07/23/2024 15QI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0080 Staffing And Staff Responsibilities Condition
J0081 Staffing And Staff Responsibilities Standard
J0100 Staffing And Staff Responsibilities Standard
▼ 283469 Wilber Medical Clinic 203 West 4th Street Wilber NE 7 (Kansas City) 06/19/2018 HDLM12 Standard
Deficiency Tag Deficiency Description Tag Type
J0023 Location Of Clinic Standard
▼ 283475 Arnold Medical Clinic 104 North Broadway Street Arnold NE 7 (Kansas City) 02/03/2025 3DS511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard