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
▼ 383999 Legacy Medical Group ? Mt. Angel 250 W Marquam Street Mount Angel OR 10 (Seattle) 09/17/2024 F97X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
▼ 383999 Legacy Medical Group ? Mt. Angel 250 W Marquam Street Mount Angel OR 10 (Seattle) 02/08/2018 YQ5M11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0058 Patient Care Policies Standard
▼ 388500 Legacy Medical Group ? Woodburn Health Center 1475 Mount Hood Avenue, Suite 120 Woodburn OR 10 (Seattle) 03/11/2025 BP7Z11 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
J0042 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 388500 Legacy Medical Group ? Woodburn Health Center 1475 Mount Hood Avenue, Suite 120 Woodburn OR 10 (Seattle) 04/10/2018 Z98J11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
J0081 Staffing And Staff Responsibilities Standard
▼ 388501 Legacy Medical Group - Silverton Family Physicians 347 Fairview Street Silverton OR 10 (Seattle) 03/07/2025 0L0L11 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
J0042 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 388501 Legacy Medical Group - Silverton Family Physicians 347 Fairview Street Silverton OR 10 (Seattle) 04/09/2018 Y10W11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0081 Staffing And Staff Responsibilities Standard
▼ 388502 Chi St Anthony Hospital Family Clinic 3001 St Anthony Way, Suite 120 Pendleton OR 10 (Seattle) 03/14/2019 LCMS11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 388504 Adventist Health Tillamook Medical Group 1100 Third Street Tillamook OR 10 (Seattle) 11/04/2022 V28P11 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
J0100 Staffing And Staff Responsibilities Standard
J0101 Staffing And Staff Responsibilities Standard
▼ 388506 Columbia Crest Medical Clinic 1935 E 19th Street, Suite 100 The Dalles OR 10 (Seattle) 07/12/2024 SZMW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0037 Ep Training Program Standard
J0041 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 388508 Saint Alphonsus Medical Group-Baker City 3325 Pocahontas Road Baker City OR 10 (Seattle) 07/22/2021 1LFL11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0100 Staffing And Staff Responsibilities Standard