S&C QCOR RHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
383991 Samaritan Coastal Clinic 825 Nw Highway 101, Suite A Lincoln City OR 10 (Seattle) 06/05/2019 UPTK11 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
J0044 Physical Plant And Environment Standard
383994 Water's Edge Medical Clinic 551 Lone Pine Boulevard The Dalles OR 10 (Seattle) 07/11/2024 GVFR11 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
383996 Mcmc Family Medicine 1620 E 12th Street The Dalles OR 10 (Seattle) 07/10/2024 ZQYU11 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
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
383998 Strawberry Wilderness Community Clinic 180 Ford Road John Day OR 10 (Seattle) 09/04/2024 O8Y511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
383998 Strawberry Wilderness Community Clinic 180 Ford Road John Day OR 10 (Seattle) 09/15/2020 WRJL11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0003 Certification Procedures Standard
J0023 Location Of Clinic Standard
J0151 Patient Health Records Standard
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