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
▼ 273976 Dahl Memorial Clinic 215 Sandy St Ekalaka MT 8 (Denver) 06/07/2023 GKA411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0030 Names And Contact Information Standard
E0037 Ep Training Program Standard
▼ 273977 Roosevelt Medical Clinic 818 2nd Ave E Culbertson MT 8 (Denver) 08/05/2025 OXZV11 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
E0013 Development Of Ep Policies And Procedures Standard
J0043 Physical Plant And Environment Standard
▼ 273978 Mondak Family Clinic 304 S Ellery Ave Fairview MT 8 (Denver) 06/24/2025 BMH411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
J0043 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
▼ 273979 Thompson Falls Clinic 120 Pond St Thompson Falls MT 8 (Denver) 08/21/2025 KPLN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0042 Integrated Ep Program Standard
▼ 273984 Northern Rockies Rural Health Clinic 226 9th Ave Se Cut Bank MT 8 (Denver) 08/18/2025 2B1U11 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
▼ 273985 Benefis Medical Clinic 1518 Chouteau St Fort Benton MT 8 (Denver) 08/18/2022 OXFE11 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
J0161 Program Evaluation Standard
▼ 273987 Phillips County Family Health Clinic 311 S 8th Ave E Malta MT 8 (Denver) 03/28/2018 VBW311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0023 Location Of Clinic Standard
▼ 273988 St Luke Community Clinic St Ignatius 330 Six Tract Ln Saint Ignatius MT 8 (Denver) 05/09/2024 7PST11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
▼ 273989 Big Sandy Medical Center Rhc 166 Montana Ave E Big Sandy MT 8 (Denver) 03/13/2024 C5XS11 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
J0043 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 273990 Northern Montana Specialty Medical Center 20 13th St W Havre MT 8 (Denver) 03/05/2025 MQCE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard