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
▼ 283475 Arnold Medical Clinic 104 North Broadway Street Arnold NE 7 (Kansas City) 02/15/2018 6QN111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0061 Organizational Structure Standard
J0069 Records System Standard
▼ 283476 Callaway Medical Clinic 213 East Kimball Street Callaway NE 7 (Kansas City) 02/04/2025 1X7Y11 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
▼ 283476 Callaway Medical Clinic 213 East Kimball Street Callaway NE 7 (Kansas City) 02/15/2018 XIJM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0069 Records System Standard
▼ 283478 Brodstone Family Medical Center - Superior Po Box 407, 525 East 11th Street Superior NE 7 (Kansas City) 03/06/2024 KR2D11 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
▼ 283478 Brodstone Family Medical Center - Superior Po Box 407, 525 East 11th Street Superior NE 7 (Kansas City) 06/21/2018 KRND12 Standard
Deficiency Tag Deficiency Description Tag Type
J0005 Licensure/Cert/Registration of Personnel Standard
▼ 283480 Boone County Medical Clinic 1173 South 8th Street Albion NE 7 (Kansas City) 03/14/2018 4OVT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
▼ 283486 Franciscan Healthcare Scribner Clinic 429 Main Street Scribner NE 7 (Kansas City) 02/12/2018 657R12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0061 Organizational Structure Standard
▼ 283489 Chase County Clinic 308 North Tecumseh Street Wauneta NE 7 (Kansas City) 01/06/2026 J3FR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0100 Staffing And Staff Responsibilities Standard
▼ 283813 Main Street Medical Clinic 313 North Webster, P O Box 467 Red Cloud NE 7 (Kansas City) 06/21/2018 BY7611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0037 Staffing and Staff Responsibilities Condition
J0039 Staffing Standard
J0048 Physician Responsibilities Standard
▼ 283836 Burwell Family Practice Clinic 410 South 8th Avenue, Po Box 906 Burwell NE 7 (Kansas City) 11/02/2021 VAK311 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
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard