S&C QCOR RHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
058608 Community Memorial Health Center 852 Ventura St Fillmore CA 9 (San Francisco) 01/30/2020 YZ4J11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0153 Patient Health Records Standard
058618 Trinity Community Health Clinic 31 Easter Avenue Weaverville CA 9 (San Francisco) 08/29/2018 LWW311 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
058634 Fairchild Medical Clinic 475 Bruce St Yreka CA 9 (San Francisco) 03/23/2026 LI8711 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
058636 Indian Valley Medical Clinic 176 Hot Springs Road Greenville CA 9 (San Francisco) 03/20/2019 1PW511 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0135 Provision Of Services Standard
058644 Adventist Health Reedley 1939 Academy Avenue Sanger CA 9 (San Francisco) 08/20/2019 YIXW11 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
J0123 Staffing And Staff Responsibilities Standard
058649 Kaweah Delta Lindsay Health Clinic 839 N Sequoia Avenue Lindsay CA 9 (San Francisco) 02/27/2018 37NX11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
J0047 Physician Responsibilities Standard
J0056 Patient Care Policies Standard
J0057 Patient Care Policies Standard
J0058 Patient Care Policies Standard
058650 Mercy Mt Shasta Community Clinic 912 Pine St Mount Shasta CA 9 (San Francisco) 05/16/2025 SK6Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0124 Provision Of Services Standard
058653 Adventist Health Reedley 1781 Simpson Street Kingsburg CA 9 (San Francisco) 06/13/2018 HZ7S12 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0057 Patient Care Policies Standard
058655 Ridgecrest Regional Hospital Rural Health Clinic 1111 North China Lake Boulevard, Suite 190 Ridgecrest CA 9 (San Francisco) 04/26/2024 XDOH11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
058655 Ridgecrest Regional Hospital Rural Health Clinic 1111 North China Lake Boulevard, Suite 190 Ridgecrest CA 9 (San Francisco) 05/29/2018 LFO811 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0060 Organizational Structure Standard