S&C QCOR RHC 2567s
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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
▼ 448931 One Stop Medical Llc 326 N Locust Avenue Lawrenceburg TN 4 (Atlanta) 04/23/2019 ZVEF11 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
▼ 448932 Michie Medical Clinic Inc 6659 Michie Pebble Hill Rd Michie TN 4 (Atlanta) 12/12/2022 JCTN11 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
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 448935 Family Healthcare Clinic Llc 7065 Knoxville Highway Oliver Springs TN 4 (Atlanta) 12/06/2021 OL2G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0101 Staffing And Staff Responsibilities Standard
▼ 448941 Family Care Clinic Llc 231 Northgate Dr 102 Mcminnville TN 4 (Atlanta) 07/28/2021 C4WX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
▼ 448942 Christian Family Medicine Of Bolivar 610 Nuckolls Road Bolivar TN 4 (Atlanta) 07/27/2022 8IN211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
▼ 448942 Christian Family Medicine Of Bolivar 610 Nuckolls Road Bolivar TN 4 (Atlanta) 07/26/2022 UD0L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
▼ 448946 Celebration Family Care Pllc 529 West Commerce Street Lewisburg TN 4 (Atlanta) 04/29/2022 CWHW11 Standard
Deficiency Tag Deficiency Description Tag Type
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
E0013 Development Of Ep Policies And Procedures 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
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0042 Integrated Ep Program Standard
J0043 Physical Plant And Environment Standard
J0110 Covid-19 Vaccination Of Facility Staff Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 448950 Hohenwald Medical Center 20 S Park Street Hohenwald TN 4 (Atlanta) 05/07/2024 C40R11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0151 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 448951 Athens Womens Clinic, Pc 817 Cook Drive Athens TN 4 (Atlanta) 12/14/2021 7XOA11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0041 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 448952 Family Medicine West Of Wartburg 1236 Knoxville Highway, Suite 500 Wartburg TN 4 (Atlanta) 12/07/2021 CF3Z11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0123 Staffing And Staff Responsibilities Standard