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
▼ 058721 Mayers Rural Health Center And Mobile Unit 20641 Commerce Way Burney CA 9 (San Francisco) 06/18/2024 U5BN11 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 058908 Apex Medical Group, Inc 311 West I Street Los Banos CA 9 (San Francisco) 07/22/2019 DDHE11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 058912 Riverside Health Clinic Of Colusa Inc 717 Bridge St Colusa CA 9 (San Francisco) 04/16/2019 BFI111 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0042 Physical Plant And Environment Standard
J0085 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 058922 First Care Medical Associates, Inc 750 East Walker Street Suite A Orland CA 9 (San Francisco) 02/07/2019 R03111 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
J0123 Staffing And Staff Responsibilities Standard
▼ 058934 Salas Medical Clinic, Inc 973 North Sequoia Avenue Lindsay CA 9 (San Francisco) 02/12/2018 KDLU12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0037 Staffing and Staff Responsibilities Condition
J0052 Provision of Services Condition
J0076 Program Evaluation Condition
J0080 Staffing And Staff Responsibilities Condition
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0032 Basic Requirements Standard
J0039 Staffing Standard
J0041 Physical Plant And Environment Standard
J0046 Physician Responsibilities Standard
J0047 Physician Responsibilities Standard
J0056 Patient Care Policies Standard
J0057 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0062 Organizational Structure Standard
J0069 Records System Standard
J0077 Annual Total Program Evaluation Standard
J0079 Evaluation Review Criteria Standard
J0081 Staffing And Staff Responsibilities Standard
J0083 Staffing And Staff Responsibilities Standard
J0085 Staffing And Staff Responsibilities Standard
▼ 058935 Rural Health Network Inc 1349 Main Street Newman CA 9 (San Francisco) 07/23/2019 UXDZ11 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 Condition
J0080 Staffing And Staff Responsibilities Condition
J0160 Program Evaluation Condition
E0009 Local, State, Tribal Collaboration Process Standard
J0042 Physical Plant And Environment Standard
J0100 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 058936 Orland Children's Center 116 E Walker St Orland CA 9 (San Francisco) 12/19/2018 7CA711 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 058937 Willows Pediatrics 263 N Villa Ave Willows CA 9 (San Francisco) 01/17/2019 865I11 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
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 058938 Javier Amu, Md, Professional Corporation 1093 11th Street Reedley CA 9 (San Francisco) 08/22/2019 PQ5N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
J0043 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 058947 Don Pedro Family Practice 3191 El Prado Street, Suite D La Grange CA 9 (San Francisco) 08/01/2019 2E1811 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
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
J0153 Patient Health Records Standard
J0161 Program Evaluation Standard