S&C QCOR RHC 2567s
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RHCs 2567s
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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
▼ 458579 Reeves County Hospital District 2335 Medical Dr Pecos TX 6 (Dallas) 05/15/2018 9H9E11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0070 Records System Standard
▼ 458608 Columbus Medical Clinic 2122 Highway 71 South, #101 Columbus TX 6 (Dallas) 02/12/2019 ZFO111 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
J0040 Physical Plant And Environment Condition
E0036 Ep Training And Testing Standard
E0042 Integrated Ep Program Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0085 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
▼ 458611 Memorial Health Clinic 1303 Mabee Drive Stamford TX 6 (Dallas) 04/03/2018 L9VS11 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
J0076 Program Evaluation Condition
J0024 Location Of Clinic Standard
▼ 458617 Shamrock Family Care Clinic 1010 South Main Shamrock TX 6 (Dallas) 02/27/2018 BOC011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0032 Primary/Alternate Means For Communication Standard
E0037 Ep Training Program Standard
▼ 458619 University Medical Center-Fabens 101 Potasio, Po Box 3940 Fabens TX 6 (Dallas) 01/28/2020 YX0J11 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
J0040 Physical Plant And Environment Condition
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
E0013 Development Of Ep Policies And Procedures Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 458639 Paris Health Clinic 2224 Bonham Paris TX 6 (Dallas) 02/06/2018 QTPC11 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
J0019 Physical Plant And Environment Condition
J0020 Location Of Clinic Condition
J0076 Program Evaluation Condition
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0048 Physician Responsibilities Standard
J0056 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0072 Protection of Record Information Standard
▼ 458652 Muleshoe Family Medicine Clinic 701 South 1st Street Muleshoe TX 6 (Dallas) 02/06/2018 MTTR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0066 Patient Health Records Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
J0023 Location Of Clinic Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0061 Organizational Structure Standard
J0070 Records System Standard
▼ 458653 Community Care Center 202 Sw 25th Ave, Suite 300 Mineral Wells TX 6 (Dallas) 07/16/2018 J6NC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0021 Location Of Clinic Standard
J0070 Records System Standard
▼ 458681 Mccamey Hospital Rural Health 2500 Hwy 305 South Mccamey TX 6 (Dallas) 02/21/2018 B5IV11 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
E0024 Policies/Procedures-Volunteers And Staffing Standard
J0024 Location Of Clinic Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0054 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
▼ 458694 Tulia Rural Health Clinic 105 Hospital Ave Tulia TX 6 (Dallas) 05/01/2018 B4U211 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
J0019 Physical Plant And Environment Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0042 Physical Plant And Environment Standard