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
▼ 423424 Laffitte & Warren Medical Center 623 North Memorial Avenue Allendale SC 4 (Atlanta) 09/19/2024 1BUP11 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
▼ 423424 Laffitte & Warren Medical Center 623 North Memorial Avenue Allendale SC 4 (Atlanta) 11/09/2020 IOF911 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
J0042 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 423428 Carolina Medical Associates 1787 Allendale Fairfax Hwy Fairfax SC 4 (Atlanta) 03/14/2023 KBSX11 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
J0152 Patient Health Records Standard
▼ 423429 Pee Dee Family Practice Johnsonville 625 South Georgetown Hwy Po Box 180 Johnsonville SC 4 (Atlanta) 11/13/2019 XNJ011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
J0152 Patient Health Records Standard
▼ 423430 Musc Health Primary Care-Ron Mcnair Blvd 276 North Ron Mcnair Boulevard Lake City SC 4 (Atlanta) 11/24/2020 5NB111 Special, 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
▼ 423431 Musc Health Primary Care-Mercy Street 334 Mercy Street Lake City SC 4 (Atlanta) 11/21/2023 VC8J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
▼ 423431 Musc Health Primary Care-Mercy Street 334 Mercy Street Lake City SC 4 (Atlanta) 12/30/2020 7KK211 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 423432 Coastal Plains Primary Care 595 Wcarolina Avenue Varnville SC 4 (Atlanta) 03/13/2023 JIDF11 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
J0044 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
▼ 423432 Coastal Plains Primary Care 595 Wcarolina Avenue Varnville SC 4 (Atlanta) 02/20/2018 4HOH11 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
J0071 Protection Of Record Information Standard
▼ 423436 Edgefield Medical Center 155 Ridge Medical Plaza Rd Edgefield SC 4 (Atlanta) 03/16/2023 4YB411 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
J0152 Patient Health Records Standard