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
▼ 553933 Bautista Rural Medical Clinics 2570 Jensen Avenue, Suite 106 Sanger CA 9 (San Francisco) 01/25/2018 09K912 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
E0013 Development Of Ep Policies And Procedures Standard
J0055 Patient Care Policies Standard
J0057 Patient Care Policies Standard
J0077 Annual Total Program Evaluation Standard
▼ 553938 Soledad Medical Clinic 600 Main Street Soledad CA 9 (San Francisco) 11/05/2018 6R8011 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 553946 Selma Rural Health Center 2057 High Street Selma CA 9 (San Francisco) 03/07/2018 6RJQ11 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
J0020 Location Of Clinic Condition
J0076 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0047 Physician Responsibilities Standard
J0048 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0058 Patient Care Policies Standard
J0070 Records System Standard
J0072 Protection of Record Information Standard
J0079 Evaluation Review Criteria Standard
J0082 Staffing And Staff Responsibilities Standard
J0083 Staffing And Staff Responsibilities Standard
J0084 Staffing And Staff Responsibilities Standard
▼ 553947 San Joaquin Prime Care Medical 826 East Manning Avenue Reedley CA 9 (San Francisco) 02/22/2018 WYH811 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0003 Certification Procedures Condition
J0076 Program Evaluation Condition
J0005 Licensure/Cert/Registration of Personnel Standard
J0023 Location Of Clinic Standard
J0056 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0070 Records System Standard
J0077 Annual Total Program Evaluation Standard
▼ 553951 Shyam Bhaskar Md Inc 1001 Van Dorsten Avenue Corcoran CA 9 (San Francisco) 06/20/2018 7ICC11 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
J0058 Patient Care Policies Standard
▼ 553954 Harold S Budhram Md Inc 5145 Shasta Dam Blvd Shasta Lake CA 9 (San Francisco) 01/04/2018 IHUT12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0024 Location Of Clinic Standard
J0041 Physical Plant And Environment Standard
J0056 Patient Care Policies Standard
J0058 Patient Care Policies Standard
▼ 553964 James Corona, Md 203 Walker Street, Suite 2 Orland CA 9 (San Francisco) 01/02/2018 6W8M11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
▼ 553977 Adventist Health Community Care - Tehachapi 105 West E Street Tehachapi CA 9 (San Francisco) 02/20/2019 6HN311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0037 Ep Training Program Standard
▼ 553978 Oakdale Community Health Cente 1420 West H Street Oakdale CA 9 (San Francisco) 05/02/2022 QPWD11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0124 Provision Of Services Standard
▼ 553982 Orchard Hospital Medical Specialty Center 284 Spruce St Gridley CA 9 (San Francisco) 09/02/2021 655411 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0100 Staffing And Staff Responsibilities Standard