S&C QCOR RHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
458705 Tch Family Medical Clinic 104 N Beech Street Woodville TX 6 (Dallas) 04/11/2018 PTP511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0070 Records System Standard
458713 Starr County Memorial Hospital Rural Health Clinic 128 N Farm Road 3167 Rio Grande City TX 6 (Dallas) 06/25/2019 K8UM11 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
J0100 Staffing And Staff Responsibilities Standard
458714 Ut Health East Texas Henderson Hospital 300 Wilson Street 2e Henderson TX 6 (Dallas) 04/09/2019 FDDX11 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
458750 Perryton Health Center 3101 Garrett Dr Perryton TX 6 (Dallas) 04/03/2018 2DEU11 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
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0055 Patient Care Policies Standard
J0086 Staffing And Staff Responsibilities Standard
458779 Clearfork Health Center 774 State Hwy 70n, Po Drawer L Rotan TX 6 (Dallas) 10/25/2022 PDR711 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
458810 Plains Clinic 602 Hwy 214 Plains TX 6 (Dallas) 04/25/2018 GKFW11 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
J0024 Location Of Clinic Standard
J0048 Physician Responsibilities Standard
458812 Roma Family Health Clinic 640 East Bravo Blvd Roma TX 6 (Dallas) 09/25/2018 N2AZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
J0023 Location Of Clinic Standard
J0057 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0070 Records System Standard
458815 Levelland Clinic North 103 John Dupree Levelland TX 6 (Dallas) 02/13/2018 W0Q811 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
J0052 Provision of Services Condition
J0066 Patient Health Records Condition
J0076 Program Evaluation 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
J0021 Location Of Clinic Standard
J0022 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0057 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0062 Organizational Structure Standard
J0070 Records System Standard
458816 Dalhart Family Medicine Clinic 206 East 16th Street Dalhart TX 6 (Dallas) 07/10/2018 UU7C11 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
J0024 Location Of Clinic Standard
J0042 Physical Plant And Environment Standard
J0070 Records System Standard
458831 Hereford Health Clinic 540 W 15th St Hereford TX 6 (Dallas) 01/23/2018 NSXC11 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
J0066 Patient Health Records Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 Ep Training And Testing Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0048 Physician Responsibilities Standard
J0070 Records System Standard