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
▼ 533996 Hot Springs Health Thermopolis 120 North C Street Thermopolis WY 8 (Denver) 01/30/2020 L3W611 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 533996 Hot Springs Health Thermopolis 120 North C Street Thermopolis WY 8 (Denver) 06/13/2018 NMQG12 Standard
Deficiency Tag Deficiency Description Tag Type
J0076 Program Evaluation Condition
J0080 Staffing And Staff Responsibilities Condition
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0058 Patient Care Policies Standard
J0072 Protection of Record Information Standard
J0077 Annual Total Program Evaluation Standard
J0078 Evaluation Review Criteria Standard
J0079 Evaluation Review Criteria Standard
J0081 Staffing And Staff Responsibilities Standard
J0082 Staffing And Staff Responsibilities Standard
J0083 Staffing And Staff Responsibilities Standard
J0084 Staffing And Staff Responsibilities Standard
J0085 Staffing And Staff Responsibilities Standard
J0086 Staffing And Staff Responsibilities Standard
▼ 553845 High Desert Family Medical Clinic 7350 Church Street Yucca Valley CA 9 (San Francisco) 12/28/2018 DC8611 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
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
J0011 Compliance With Fed., State & Local Laws Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
▼ 553866 De Anza Clinic 1001 Blair Street Calexico CA 9 (San Francisco) 09/26/2019 RL7V11 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
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0039 Ep Testing Requirements Standard
J0011 Compliance With Fed., State & Local Laws Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
J0153 Patient Health Records Standard
J0162 Program Evaluation Standard
▼ 553882 Santa Rosa Del Valle Medical Group, Inc 1293 Sixth Street Coachella CA 9 (San Francisco) 03/19/2019 58PN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0122 Provision Of Services Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0151 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 553886 Sean R Thomas, Md, Inc 55585 29 Palms Highway Yucca Valley CA 9 (San Francisco) 03/07/2019 DV0N11 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
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 553898 Dinuba Rural Health Center 420 East El Monte Way Dinuba CA 9 (San Francisco) 07/20/2023 839C11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
▼ 553898 Dinuba Rural Health Center 420 East El Monte Way Dinuba CA 9 (San Francisco) 01/02/2018 899P11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0037 Staffing and Staff Responsibilities Condition
J0052 Provision of Services Condition
J0039 Staffing Standard
J0053 Basic Requirements Standard
▼ 553925 Chowchilla Family Clinic 129 North 5th Street Chowchilla CA 9 (San Francisco) 04/11/2018 152N11 Standard
Deficiency Tag Deficiency Description Tag Type
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
J0076 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0021 Location Of Clinic Standard
J0022 Location Of Clinic Standard
J0055 Patient Care Policies Standard
J0056 Patient Care Policies Standard
J0057 Patient Care Policies Standard
J0070 Records System Standard
J0077 Annual Total Program Evaluation Standard
▼ 553927 Coalinga Valley Health Clinics, Inc-Huron 36617 Central Avenue, Huron CA 9 (San Francisco) 01/17/2018 SPFI12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0076 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0036 Ep Training And Testing Standard
J0024 Location Of Clinic Standard
J0048 Physician Responsibilities Standard
J0069 Records System Standard
J0077 Annual Total Program Evaluation Standard