S&C QCOR RHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
333421 Family Health Center Of Cmh - Hamilton 164 Broad Street Hamilton NY 2 (New York) 12/10/2021 568711 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
333805 Community Health Center 2 Main Street Cherry Valley NY 2 (New York) 11/06/2020 2ZKL11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0123 Staffing And Staff Responsibilities Standard
333835 Family Health Center Of Cmh - Hamilton 164 Broad Street Hamilton NY 2 (New York) 12/10/2021 GX6411 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
333978 Dekalb Health Center 2924 County Route 17 De Kalb Junction NY 2 (New York) 12/12/2022 OEGQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
J0041 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
333978 Dekalb Health Center 2924 County Route 17 De Kalb Junction NY 2 (New York) 10/22/2018 6ING11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
333979 Edwards Health Center, Gouverneur Hospital 8 Church Street Edwards NY 2 (New York) 04/04/2023 Z5VV11 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
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0151 Patient Health Records Standard
333979 Edwards Health Center, Gouverneur Hospital 8 Church Street Edwards NY 2 (New York) 10/23/2018 EH5F11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
333985 Beaver River Health Center 9559 Main Street Beaver River NY 2 (New York) 05/01/2025 UTBK11 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
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
333985 Beaver River Health Center 9559 Main Street Beaver River NY 2 (New York) 04/08/2019 JIEB11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0062 Organizational Structure Standard
J0152 Patient Health Records Standard
J0153 Patient Health Records Standard
343411 Angel Urgent Care Center 190 Riverview Street Franklin NC 4 (Atlanta) 05/31/2018 OJJW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0057 Patient Care Policies Standard