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
▼ 303992 Antrim Medical Group 12 Elm St Antrim NH 1 (Boston) 09/16/2025 IPCX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0084 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 303992 Antrim Medical Group 12 Elm St Antrim NH 1 (Boston) 06/14/2018 64KO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0081 Staffing And Staff Responsibilities Standard
▼ 303994 Patient Care Center Littleton 536 Cottage St Littleton NH 1 (Boston) 08/01/2023 EHCL11 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
J0086 Staffing And Staff Responsibilities Standard
▼ 323402 Rgh Clinic - Portales 42121 Us Hwy 70 Portales NM 6 (Dallas) 01/12/2023 W8ZL11 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
E0031 Emergency Officials Contact Information Standard
E0034 Information On Occupancy/Needs Standard
E0037 Ep Training Program Standard
J0044 Physical Plant And Environment Standard
J0110 Covid-19 Vaccination Of Facility Staff Standard
▼ 323410 Rgh Clovis Clinic 2000 W 21st Street Unit R1 Clovis NM 6 (Dallas) 10/09/2019 2Y4B11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
▼ 323831 Carrizozo Health Center 710 Avenue E Carrizozo NM 6 (Dallas) 05/16/2018 0BZQ11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0070 Records System Standard
▼ 323855 Corona Health Clinic Highway 54-Main Street Corona NM 6 (Dallas) 09/27/2023 VKPT11 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
J0061 Organizational Structure Standard
J0135 Provision Of Services Standard
J0153 Patient Health Records Standard
▼ 323988 Valley Health Clinic Of Eastern Nm 116 East Second Street Dexter NM 6 (Dallas) 08/25/2021 P3X711 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
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0085 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 333417 Copenhagen Health Center - Rural Health 9732 State Route 12 Copenhagen NY 2 (New York) 12/15/2023 YHZT11 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
J0042 Physical Plant And Environment Standard
J0135 Provision Of Services Standard
▼ 333418 South Lewis Health Center 3926 State Route 12 Lyons Falls NY 2 (New York) 01/23/2024 THGF11 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
J0044 Physical Plant And Environment Standard
J0152 Patient Health Records Standard