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
▼ 383853 North Bend Medical Center Gold Beach 94180 Second Street Gold Beach OR 10 (Seattle) 07/12/2022 RVQW11 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
J0110 Covid-19 Vaccination Of Facility Staff Standard
J0152 Patient Health Records Standard
▼ 383858 Hermiston Family Practice And Urgent Care 236 E Newport Avenue Hermiston OR 10 (Seattle) 06/07/2021 QD2L11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0044 Physical Plant And Environment Standard
▼ 383859 Madras Medical Group 76 Ne 12th Street Madras OR 10 (Seattle) 03/26/2025 OU5911 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
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
J0041 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
▼ 383859 Madras Medical Group 76 Ne 12th Street Madras OR 10 (Seattle) 06/04/2018 8FLJ11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
J0023 Location Of Clinic Standard
J0058 Patient Care Policies Standard
J0072 Protection of Record Information Standard
▼ 383862 Lisa Callahan, Cpnp 1465 B Ne 7th Street Grants Pass OR 10 (Seattle) 04/15/2021 CUVO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0060 Organizational Structure Condition
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0061 Organizational Structure Standard
▼ 383863 Walla Walla Clinic Milton-Freewater 10 Ne 5th Avenue Milton Freewater OR 10 (Seattle) 03/12/2019 GLN011 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
J0160 Program Evaluation Condition
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0085 Staffing And Staff Responsibilities Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
▼ 383866 C Scott Graham, Do, Pc 620 South J Street Lakeview OR 10 (Seattle) 08/03/2022 8NCL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0042 Integrated Ep Program Standard
J0013 Licensure/Cert/Registration Of Personnel Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0110 Covid-19 Vaccination Of Facility Staff Standard
▼ 383867 Legacy Clinic St Helens 475 S Columbia River Highway, Suite 100 St Helens OR 10 (Seattle) 01/10/2020 TQ5011 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
J0042 Physical Plant And Environment Standard
▼ 383869 Pine Eagle Clinic 218 N Pine Street Halfway OR 10 (Seattle) 07/21/2021 G6EH11 Special, 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
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
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 383874 Pediatric Specialists Of Pendleton, L L C 2461 Sw Perkins Avenue Pendleton OR 10 (Seattle) 07/10/2024 5L3111 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
J0043 Physical Plant And Environment Standard
J0152 Patient Health Records Standard