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
▼ 058950 Baart Cartwright Clinic 3103 East Cartwright Avenue Fresno CA 9 (San Francisco) 09/06/2019 WQOS11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0080 Staffing And Staff Responsibilities Condition
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
J0002 Certification Procedures Standard
J0061 Organizational Structure Standard
J0085 Staffing And Staff Responsibilities Standard
J0086 Staffing And Staff Responsibilities Standard
J0100 Staffing And Staff Responsibilities Standard
J0102 Staffing And Staff Responsibilities Standard
J0121 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 058951 Family Health Medical Center 1045 5th Street Los Banos CA 9 (San Francisco) 08/14/2019 2YJO11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
▼ 058960 Marysville Clinic 527 E Street Marysville CA 9 (San Francisco) 05/16/2019 1ZYF11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 058963 Good Samaritan Arvin Medical Clinic 146 North Hill Street Arvin CA 9 (San Francisco) 03/21/2018 6LNQ11 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
J0047 Physician Responsibilities Standard
J0057 Patient Care Policies Standard
▼ 058964 Green Valley Medical Clinic 41689 Road 128 Orosi CA 9 (San Francisco) 03/13/2018 HFXH11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0057 Patient Care Policies Standard
▼ 058966 Shasta Family Care 725 Pine St Mount Shasta CA 9 (San Francisco) 08/21/2019 JYZO11 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
J0086 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
▼ 058970 Gloria Nelson Center For Women And Children 1500 6th Avenue Delano CA 9 (San Francisco) 01/23/2019 0U7211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 058975 Michael Komin, Md, Medical Corporation 1150 East Lerdo Highway, Suite C Shafter CA 9 (San Francisco) 04/23/2019 5D6M11 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
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0151 Patient Health Records Standard
▼ 063400 Family Practice Of Holyoke 1001 East Johnson Street Holyoke CO 8 (Denver) 12/02/2021 CPRB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 063401 Stratton Medical Clinic 500 Nebraska Avenue Stratton CO 8 (Denver) 01/08/2018 YXTU12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0076 Program Evaluation Condition
J0080 Staffing And Staff Responsibilities Condition
J0077 Annual Total Program Evaluation Standard
J0079 Evaluation Review Criteria Standard
J0081 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