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
▼ 503898 Mary's Corner Medical Clinic 4254 Jackson Highway Chehalis WA 10 (Seattle) 09/29/2022 SXOA11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0037 Ep Training Program Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 503901 Steck Medical Center 1299 Bishop Road Chehalis WA 10 (Seattle) 07/19/2023 TPCI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0037 Ep Training Program Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 503907 Mid-Valley Community Clinic Pllc 700 S 11th St Sunnyside WA 10 (Seattle) 08/18/2023 T50G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0037 Ep Training Program Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 503908 Swofford & Halma Clinic Inc Ps 2303 Reith Way Sunnyside WA 10 (Seattle) 08/22/2023 0G3011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
▼ 503915 Northwest Pediatric Center 18313 Paulson Street Sw Rochester WA 10 (Seattle) 09/01/2021 PNJR11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
▼ 503932 Confluence Health Tonasket Clinic 17 S Western Ave Tonasket WA 10 (Seattle) 09/20/2022 DG5211 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0011 Compliance With Fed., State & Local Laws Standard
▼ 503935 Confluence Health Omak Clinic 916 Koala Dr Omak WA 10 (Seattle) 08/26/2025 FR2Q11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
▼ 503978 Waitsburg Clinic 235 Main St Waitsburg WA 10 (Seattle) 03/19/2019 YWKY11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
E0030 Names And Contact Information Standard
E0042 Integrated Ep Program Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
▼ 503984 Naselle Clinic 309 Knappton Rd Naselle WA 10 (Seattle) 05/01/2019 O9HG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 503992 Cascade Medical Center 817 Commercial Street Leavenworth WA 10 (Seattle) 09/24/2025 Y85B11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard