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
▼ 038509 White Mountain Regional Medical Center Clinic 114 South Mountain Avenue Springerville AZ 9 (San Francisco) 01/04/2021 DW5P11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0011 Compliance With Fed., State & Local Laws Standard
▼ 038509 White Mountain Regional Medical Center Clinic 114 South Mountain Avenue Springerville AZ 9 (San Francisco) 06/07/2018 AHLB11 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
▼ 043423 Newton County Family Practice Clinic 502 West Court Street Jasper AR 6 (Dallas) 01/03/2018 TKS711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
J0070 Records System Standard
▼ 043432 Baxter Regional Ahrens Clinic 414 West Old Main Street Yellville AR 6 (Dallas) 07/02/2018 732V11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0076 Program Evaluation Condition
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0042 Integrated Ep Program Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0047 Physician Responsibilities Standard
J0048 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0055 Patient Care Policies Standard
J0056 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0062 Organizational Structure Standard
J0070 Records System Standard
J0078 Evaluation Review Criteria Standard
J0086 Staffing And Staff Responsibilities Standard
▼ 043448 Family Care Clinic Of Rector 715 East Ninth Street Rector AR 6 (Dallas) 01/03/2019 G9L511 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
J0152 Patient Health Records Standard
▼ 043455 Drasco Medical Clinic 60 Greers Ferry Road Drasco AR 6 (Dallas) 02/12/2019 6T5T11 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
J0152 Patient Health Records Standard
▼ 043460 Stephens Community Clinic 113 West Ruby Stephens AR 6 (Dallas) 10/29/2019 HYJ011 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
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0029 Development Of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 043477 St Vincent Medical Clinic Morrilton 1711 East Harding Morrilton AR 6 (Dallas) 06/28/2018 S8UE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0024 Location Of Clinic Standard
J0070 Records System Standard
▼ 043479 Family Medical Clinic 1309 West Main Walnut Ridge AR 6 (Dallas) 11/28/2018 92FG11 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
J0042 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
▼ 043486 Ferguson Rural Health Clinic 1641 South Whitehead Drive De Witt AR 6 (Dallas) 04/08/2025 J3Q411 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
E0004 Develop Ep Plan, Review And Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0034 Information On Occupancy/Needs Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard