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
▼ 508501 Odessa Memorial Healthcare Center 510 E Amende Drive Odessa WA 10 (Seattle) 01/26/2018 QAUG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0033 Methods For Sharing Information Standard
E0037 Ep Training Program Standard
J0024 Location Of Clinic Standard
J0062 Organizational Structure Standard
J0069 Records System Standard
▼ 508505 Anacortes Family Medicine 2511 M Avenue, Suite B Anacortes WA 10 (Seattle) 09/20/2023 JZ6511 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 508509 Skagit Regional Health Darrington Family Medicine 1190 Riddle St Darrington WA 10 (Seattle) 04/18/2019 6R8N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
E0042 Integrated Ep Program Standard
J0101 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 508517 Confluence Health Tonasket Clinic 17 S Western Ave Tonasket WA 10 (Seattle) 09/20/2022 MI0V11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0011 Compliance With Fed., State & Local Laws Standard
▼ 508534 Mid-Valley Medical Group 529 Jasmine Street Omak WA 10 (Seattle) 09/26/2023 VWVO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
J0044 Physical Plant And Environment Standard
▼ 508540 Astria Health Center 208 N Euclid Road Grandview WA 10 (Seattle) 09/23/2021 JHMF11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0136 Provision Of Services Standard
▼ 508549 Mason Health-Mason Clinic 1701 N 13th St Shelton WA 10 (Seattle) 09/01/2022 EEEQ11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 508554 Benton City Clinic 701 Dale Ave Benton City WA 10 (Seattle) 01/16/2018 KDLV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0076 Program Evaluation Condition
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0032 Basic Requirements Standard
J0047 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0056 Patient Care Policies Standard
J0057 Patient Care Policies Standard
J0061 Organizational Structure Standard
▼ 513400 Braxton Community Health Center Rhc 617 River Street Gassaway WV 3 (Philadelphia) 04/11/2022 NO3E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
▼ 513402 Summersville Rural Health Clinic 400 Fairview Heights Road Summersville WV 3 (Philadelphia) 05/07/2019 CLOP11 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