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
▼ 783807 Carle Health Lacon 1112 Fifth Street Lacon IL 5 (Chicago) 12/29/2021 U23S11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 783816 Heartland Women's Healthcare, Ltd 3408 Office Park Drive Marion IL 5 (Chicago) 04/27/2023 76EX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
▼ 783818 Effingham Obstetrics & Gynecology Associates Llc 912 N Henrietta Po Box 784 Effingham IL 5 (Chicago) 07/31/2024 HN5X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
E0009 Local, State, Tribal Collaboration Process Standard
J0011 Compliance With Fed., State & Local Laws Standard
J0043 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 783822 Springfield Clinic Jacksonville Rural Health 15 Founders Lane Jacksonville IL 5 (Chicago) 04/07/2025 C05I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0013 Licensure/Cert/Registration Of Personnel Standard
▼ 783823 Southern Ob/Gyn - Highland 100 Woodcrest Drive Highland IL 5 (Chicago) 06/14/2018 GZ5611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
▼ 783824 Southern Ob/Gyn 9447 Holy Cross Lane Breese IL 5 (Chicago) 02/21/2018 CB8F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place 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
E0039 Ep Testing Requirements Standard
▼ 783825 Marion Diagnostic Center, Llc 3003 Civic Circle Blvd Ste 200 Marion IL 5 (Chicago) 03/11/2019 C2HR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
▼ 783830 Heartland Women's Healthcare 3130 Veternas Memorial Drive Mount Vernon IL 5 (Chicago) 07/01/2021 6F4711 Special, 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
▼ 783833 Medical Services Unlimited 1404 N 5th St Vandalia IL 5 (Chicago) 02/16/2022 PQPW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
J0110 Covid-19 Vaccination Of Facility Staff Standard
▼ 783847 Sih Medical Group Anna Primary Care 98 Peach Ridge Road Anna IL 5 (Chicago) 08/04/2022 SX3R11 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