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
▼ 043981 Midway Medical Clinic 195 Hospital Drive A Cherokee Village AR 6 (Dallas) 05/18/2023 8ODH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
▼ 048506 Baptist Health Family Clinic - Heber Springs 1415 Highway 25b, Suite 3 Heber Springs AR 6 (Dallas) 02/14/2019 RLUB11 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
J0136 Provision Of Services Standard
▼ 048512 Baptist Health Heber Springs Campus Clinic 1800 By Pass Road Heber Springs AR 6 (Dallas) 07/30/2018 8ECR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0034 Information On Occupancy/Needs Standard
E0042 Integrated Ep Program Standard
▼ 048515 Nutt-Walley Clinic Of Dallas County Medical Center 110 North Clifton Street Fordyce AR 6 (Dallas) 07/27/2018 BVKX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. 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
E0034 Information On Occupancy/Needs Standard
J0024 Location Of Clinic Standard
J0070 Records System Standard
J0073 Protection Of Record Information Standard
▼ 053888 Canby Family Practice Clinic 670 County Road 83 Canby CA 9 (San Francisco) 03/03/2020 G0AS11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
▼ 053914 Mendota Family Health Center 507 Oller Street Mendota CA 9 (San Francisco) 04/22/2019 4EJK11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
▼ 053930 Firebaugh Family Health Clinic 992 O Street Firebaugh CA 9 (San Francisco) 04/22/2019 31VN11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
▼ 053940 Dinuba Medical Clinic 271 N L St Dinuba CA 9 (San Francisco) 09/05/2018 WEKA11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
▼ 053983 Surprise Valley Medical Clinic 745 Main Street Cedarville CA 9 (San Francisco) 03/10/2026 3KPR11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 053990 Family Health Services Annex 1210 E Almond Madera CA 9 (San Francisco) 02/11/2020 IPT411 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard