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
▼ 793800 West Tennessee Med Grp Primary Care Caruthersville 108 West 15th Street Caruthersville MO 7 (Kansas City) 10/23/2023 MLKM11 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
J0043 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
▼ 793809 Bootheel Counseling Services 760 Plantation Blvd Sikeston MO 7 (Kansas City) 02/22/2018 C3OU12 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0076 Program Evaluation Condition
J0080 Staffing And Staff Responsibilities Condition
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0047 Physician Responsibilities Standard
J0048 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0058 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure 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
▼ 793811 Holden Family Care, Llc 612 E 10th Street Holden MO 7 (Kansas City) 09/24/2024 IR3611 Standard
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
▼ 793813 Morton Van Zanten Clinic 101 Giesler Drive Osceola MO 7 (Kansas City) 01/30/2018 6QJF12 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0023 Location Of Clinic Standard
▼ 793825 Best Medical Llc 112 Union Street Leadington MO 7 (Kansas City) 03/05/2019 VZQ311 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
J0040 Physical Plant And Environment Condition
J0080 Staffing And Staff Responsibilities Condition
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0062 Organizational Structure Standard
J0086 Staffing And Staff Responsibilities Standard
J0122 Provision Of Services Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 793827 Women's Health Specialists Pc 2340 Katy Lane Poplar Bluff MO 7 (Kansas City) 06/10/2019 0UVC11 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
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0153 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 793833 Theodosia Family Medical Clinic Llc 4900 St Hwy 160 Ste 2 Theodosia MO 7 (Kansas City) 04/12/2021 T4OF11 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
E0006 Plan Based On All Hazards Risk Assessment Standard
E0037 Ep Training Program Standard
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 793835 Marble Hill Medical Clinic, Llc 307 Broadway Street Marble Hill MO 7 (Kansas City) 05/24/2021 5DQ511 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
J0043 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 793840 Mountain Grove Medical And Laser Center Inc 601 N Busch Avenue Mountain Grove MO 7 (Kansas City) 07/02/2019 8UDH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
▼ 793860 Westwood Rural Health Clinic 2642 State Route 76 Willow Springs MO 7 (Kansas City) 10/19/2021 D4T811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0044 Physical Plant And Environment Standard