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
▼ 353412 Garrison Family Clinic 407 3rd Ave Se Garrison ND 8 (Denver) 08/01/2018 1O2W11 Standard
Deficiency Tag Deficiency Description Tag Type
J0057 Patient Care Policies Standard
▼ 353415 Linton Clinic 511 Elm St Linton ND 8 (Denver) 06/08/2021 XICU11 Special, 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
▼ 353419 Amc Zeeland Clinic 510 South Main Street Zeeland ND 8 (Denver) 04/27/2018 6R9N11 Standard
Deficiency Tag Deficiency Description Tag Type
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0057 Patient Care Policies Standard
▼ 353428 Clinicare 301 Mountain St E Ste 2 Cavalier ND 8 (Denver) 03/08/2018 9O1O12 Standard
Deficiency Tag Deficiency Description Tag Type
J0061 Organizational Structure Standard
▼ 353438 Mchs Clinic 709 4th Ave Ne Watford City ND 8 (Denver) 01/12/2022 0QQC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
J0043 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 353442 Elgin Community Clinic 603 East Street North Elgin ND 8 (Denver) 02/07/2018 RPZP11 Standard
Deficiency Tag Deficiency Description Tag Type
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
▼ 353443 Rural Health Gackle 321 Main Street Gackle ND 8 (Denver) 07/18/2018 B87Y11 Standard
Deficiency Tag Deficiency Description Tag Type
J0022 Location Of Clinic Standard
▼ 353449 Glen Ullin Family Medical Clinic 602 Ash Ave Glen Ullin ND 8 (Denver) 06/10/2019 CJPG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
J0125 Provision Of Services Standard
▼ 353451 Heart Of America Johnson Clinic - Dunseith 215 Main St Se Dunseith ND 8 (Denver) 02/13/2019 3RRH11 Standard
Deficiency Tag Deficiency Description Tag Type
J0101 Staffing And Staff Responsibilities Standard
▼ 353452 Heart Of America Johnson Clinic - Maddock 301 Roosevelt Ave Maddock ND 8 (Denver) 02/13/2019 F6QX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
J0043 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard