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
▼ 353987 Tioga Medical Center - Powers Lake Rhc 117 Main St Powers Lake ND 8 (Denver) 01/02/2019 ZYZM11 Standard
Deficiency Tag Deficiency Description Tag Type
J0086 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
▼ 353988 Tioga Medical Center-Ray Rhc Ray Mall Ray ND 8 (Denver) 01/06/2026 8GWJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0042 Integrated Ep Program Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0100 Staffing And Staff Responsibilities Standard
▼ 353989 Rural Health Napoleon 420 Main Napoleon ND 8 (Denver) 01/22/2020 09LX11 Standard
Deficiency Tag Deficiency Description Tag Type
J0042 Physical Plant And Environment Standard
▼ 353992 Trinity Community Clinic - Kenmare 307 1st Ave Nw Kenmare ND 8 (Denver) 01/24/2022 LJGC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
J0101 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 353995 Foster County Med Ctr 820 N 5th St Carrington ND 8 (Denver) 04/22/2025 UVWJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
▼ 353997 New Rockford Community Clinic 118 1st St S New Rockford ND 8 (Denver) 04/22/2025 24TX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
▼ 353997 New Rockford Community Clinic 118 1st St S New Rockford ND 8 (Denver) 05/31/2018 3QW711 Standard
Deficiency Tag Deficiency Description Tag Type
J0062 Organizational Structure Standard
▼ 358506 Smp Health St Kateri 213 2nd Ave Ne Rolla ND 8 (Denver) 10/15/2019 91IK11 Standard
Deficiency Tag Deficiency Description Tag Type
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 358508 Smp Health - St Andrews 314 Ohmer St Bottineau ND 8 (Denver) 02/13/2024 LKUU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
J0161 Program Evaluation Standard
▼ 358511 Cooperstown Medical Center - Lakota Satellite Rhc 139 2nd St W Lakota ND 8 (Denver) 07/27/2022 KNB811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard