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
▼ 458870 Fchc Rosebud Medical Clinic 312 North Stallworth Rosebud TX 6 (Dallas) 05/01/2018 YV3G11 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
J0020 Location Of Clinic Condition
J0021 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0048 Physician Responsibilities Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
▼ 458874 Winnie Community Clinic 538 Broadway Winnie TX 6 (Dallas) 06/11/2019 6MJ311 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
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
J0042 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
J0161 Program Evaluation Standard
▼ 458875 Cogdell Clinic Briscoe County 701 Commerce Street Silverton TX 6 (Dallas) 06/11/2019 GLI311 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
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 458878 Hico Clinic 104 Walnut Street Hico TX 6 (Dallas) 02/21/2018 QFEB11 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
J0048 Physician Responsibilities Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0070 Records System Standard
▼ 458898 Motley County Clinic 1224 Main Street, Po Box 136 Matador TX 6 (Dallas) 02/06/2018 7D0O12 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0052 Provision of Services Condition
E0029 Development Of Communication Plan Standard
E0039 Ep Testing Requirements Standard
J0021 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0047 Physician Responsibilities Standard
J0055 Patient Care Policies Standard
J0070 Records System Standard
J0077 Annual Total Program Evaluation Standard
▼ 458905 Adventhealth Family Medicine Clinic Lampasas 187 Pr 4060 Lampasas TX 6 (Dallas) 07/10/2018 WPEZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
▼ 458912 Wagner Medical Clinic, Llp 124 E Wolters/2nd Street Shiner TX 6 (Dallas) 10/31/2022 XW0J11 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
E0036 Ep Training And Testing Standard
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
▼ 458913 Providence Family Health Clinic-Hillsboro 1323 E Franklin Street Ste 105 Hillsboro TX 6 (Dallas) 05/01/2018 Z94T11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0019 Physical Plant And Environment Condition
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
▼ 458934 Los Fresnos Medicine 725 Ocean Street Los Fresnos TX 6 (Dallas) 04/23/2024 1MX311 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0120 Provision Of Services Condition
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 458940 Cadenhead Rural Health Clinic 1417 North 1st Suite A Haskell TX 6 (Dallas) 06/14/2022 VJY411 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
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard