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
▼ 018946 Pediatric Associates Of Alexander City 21 Coosa Rd 50 Kellyton, Al Kellyton AL 4 (Atlanta) 08/13/2020 HZTI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0124 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 018953 Lakeside Primary Care 1260 Chesnut Bypass Suite A Centre AL 4 (Atlanta) 03/11/2021 721K11 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
J0084 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
▼ 018955 United Doctors Family Medical Center - Snead 180 Medical Street Snead AL 4 (Atlanta) 06/11/2021 042E11 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
J0152 Patient Health Records Standard
▼ 018958 Faith Medical Clinic 64 Mccurdy Ave N Rainsville AL 4 (Atlanta) 03/15/2022 FEU911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
J0013 Licensure/Cert/Registration Of Personnel Standard
J0043 Physical Plant And Environment Standard
J0100 Staffing And Staff Responsibilities Standard
▼ 018964 Northwest Primary Care 200 Carraway Drive Winfield AL 4 (Atlanta) 06/13/2023 OFW911 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
J0044 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
▼ 018965 Ivy Creek Family Care Of Wetumpka 525 Hospital Drive Suite A Wetumpka AL 4 (Atlanta) 06/21/2023 NO8F12 Standard
Deficiency Tag Deficiency Description Tag Type
J0135 Provision Of Services Standard
▼ 018965 Ivy Creek Family Care Of Wetumpka 525 Hospital Drive Suite A Wetumpka AL 4 (Atlanta) 03/02/2021 NO8F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 018974 Chilton Family Medicine 14 Minnesota Ave Thorsby AL 4 (Atlanta) 03/15/2024 XFOG11 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
J0100 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 018975 Chilton Family Medicine 107 Healthcare Center Clanton AL 4 (Atlanta) 03/13/2024 CT3Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0044 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 033835 San Luis Walk-In Clinic Urgent Care & Family Cente 214 West Main Street Somerton AZ 9 (San Francisco) 06/21/2018 UY8F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0039 Staffing Standard