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
▼ 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
▼ 033838 San Luis Urgent Care 1233 North Main Street, Suite 1a San Luis AZ 9 (San Francisco) 11/16/2020 B03J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0081 Staffing And Staff Responsibilities Standard
▼ 033842 Parker Walk In Clinic 601 Riverside Drive, Suite 4 Parker AZ 9 (San Francisco) 07/25/2023 6CW811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0001 Certification Procedures Condition
J0080 Staffing And Staff Responsibilities Condition
J0120 Provision Of Services Condition
J0002 Certification Procedures Standard
J0044 Physical Plant And Environment Standard
J0081 Staffing And Staff Responsibilities Standard
J0082 Staffing And Staff Responsibilities Standard
J0085 Staffing And Staff Responsibilities Standard
J0086 Staffing And Staff Responsibilities Standard
J0100 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 033845 San Luis Urgent Care 151 South Oak Avenue, Suite 7 San Luis AZ 9 (San Francisco) 06/12/2024 9Z7L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0101 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 033846 Wellness Center 151 South Oak Avenue, Suite 2 San Luis AZ 9 (San Francisco) 06/12/2024 U0CC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0101 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 033847 Women's Health Center 151 South Oak Avenue, Suite 3 San Luis AZ 9 (San Francisco) 06/11/2024 86IW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0101 Staffing And Staff Responsibilities Standard
▼ 033985 Greasewood Clinic Po Box 457, Highway 264 Ganado AZ 9 (San Francisco) 10/21/2021 PRQM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard