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
▼ 423452 Prisma Health Laurens Family Med-Main 106 Parkview Drive Laurens SC 4 (Atlanta) 01/03/2019 1SXV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0030 Names And Contact Information Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 423453 Due West Family Medicine 6 College Street Due West SC 4 (Atlanta) 11/20/2023 F6CG11 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
▼ 423453 Due West Family Medicine 6 College Street Due West SC 4 (Atlanta) 12/23/2019 SEYS11 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
E0032 Primary/Alternate Means For Communication Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 423454 Prisma Health Laurens Family Medicine-Gray Court 9100 Hwy 14 Gray Court SC 4 (Atlanta) 01/04/2022 ZXZE11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 423454 Prisma Health Laurens Family Medicine-Gray Court 9100 Hwy 14 Gray Court SC 4 (Atlanta) 06/05/2019 89BG11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0039 Ep Testing Requirements Standard
J0044 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 423457 Cannon Family Practice Eastside 111 West Roper Road Easley SC 4 (Atlanta) 11/12/2019 SRJ111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0032 Primary/Alternate Means For Communication Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 423460 Mcleod Primary Care-Clarendon 22 Bozard Street Manning SC 4 (Atlanta) 11/24/2020 P4Q311 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0121 Provision Of Services Standard
▼ 423462 Anmed Primary Care-Liberty 105 Liberty Blvd Liberty SC 4 (Atlanta) 11/24/2020 FZ6K11 Special, 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
▼ 423462 Anmed Primary Care-Liberty 105 Liberty Blvd Liberty SC 4 (Atlanta) 03/06/2018 31EV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
J0023 Location Of Clinic Standard
▼ 423466 Mcleod Family Medicine Kingstree 512 Nelson Boulevard Suite 200 Kingstree SC 4 (Atlanta) 01/13/2022 DSZ111 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
E0007 Ep Program Patient Population Standard
E0030 Names And Contact Information Standard
J0161 Program Evaluation Standard