S&C QCOR RHC 2567s
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RHCs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 683829 North Florida Pediatrics Pa 2220 N Young Blvd Chiefland FL 4 (Atlanta) 09/08/2025 ZYT411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 683830 Community Family Health Care 11392 E Highway 316 Fort Mc Coy FL 4 (Atlanta) 08/04/2025 OZZJ11 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
▼ 683830 Community Family Health Care 11392 E Highway 316 Fort Mc Coy FL 4 (Atlanta) 08/01/2018 IMYS11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0032 Primary/Alternate Means For Communication Standard
E0034 Information On Occupancy/Needs Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
▼ 683832 Clark Clinic Inc 910 W Myers Blvd Mascotte FL 4 (Atlanta) 12/23/2025 IE2J11 Complaint, 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
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 683839 Deven Medical Center 41 N Inglis Ave Ste B Inglis FL 4 (Atlanta) 04/12/2021 RTQL11 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
J0043 Physical Plant And Environment Standard
▼ 683848 1st Choice Urgent Care Center Llc 275 W Main St Ste B Lake Butler FL 4 (Atlanta) 12/01/2023 2M2Z11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
▼ 783801 Hshs Medical Group Family Medicine-Dieterich 207 S Main Street Dieterich IL 5 (Chicago) 03/11/2022 OR4111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0150 Patient Health Records Condition
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0153 Patient Health Records Standard
▼ 783803 Centralia Family Health Center 1441 West Broadway Centralia IL 5 (Chicago) 02/17/2022 V8ML11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0030 Names And Contact Information Standard
E0034 Information On Occupancy/Needs Standard
E0039 Ep Testing Requirements Standard
J0125 Provision Of Services Standard
▼ 783804 Carle Health Chillicothe 525 Sweetbriar Drive Chillicothe IL 5 (Chicago) 03/25/2021 ULN411 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
▼ 783806 Carle Rural Health Princeville 223 Main Street Princeville IL 5 (Chicago) 10/07/2022 H5DD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard