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
▼ 058655 Ridgecrest Regional Hospital Rural Health Clinic 1111 North China Lake Boulevard, Suite 190 Ridgecrest CA 9 (San Francisco) 05/22/2018 T7RI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Standard
J0047 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0056 Patient Care Policies Standard
J0077 Annual Total Program Evaluation Standard
▼ 058656 Family Medicine Practice 2721 Olive Hwy Suite 9 Oroville CA 9 (San Francisco) 07/23/2019 GHUM11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 058659 Kaweah Delta Woodlake Health Clinic 180 East Antelope Avenue Woodlake CA 9 (San Francisco) 03/06/2019 V89L11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0100 Staffing And Staff Responsibilities Standard
▼ 058659 Kaweah Delta Woodlake Health Clinic 180 East Antelope Avenue Woodlake CA 9 (San Francisco) 08/28/2018 Y1RL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0056 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0077 Annual Total Program Evaluation Standard
▼ 058660 Mabie First Street Healthcare Center 321 First Street Hollister CA 9 (San Francisco) 11/07/2018 1VE911 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 058661 Oroville Women's Health 2809 Olive Highway Suites 320 Oroville CA 9 (San Francisco) 04/10/2019 CIIF11 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
J0044 Physical Plant And Environment Standard
J0081 Staffing And Staff Responsibilities Standard
J0100 Staffing And Staff Responsibilities Standard
J0102 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0151 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 058662 Mercy Lake Shastina Community Clinic 16337 Everhart Drive Weed CA 9 (San Francisco) 06/04/2019 ZC8C11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 058670 Trona Rural Health Clinic 82820 Trona Road Trona CA 9 (San Francisco) 03/13/2019 I63O11 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
J0122 Provision Of Services Standard
▼ 058676 Adventist Health Clearlake 155 Solano Street Corning CA 9 (San Francisco) 12/14/2021 JRYF11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0124 Provision Of Services Standard
▼ 058714 Canby Family Practice Clinic 670 County Road 83 Canby CA 9 (San Francisco) 03/03/2020 5KK611 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