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
▼ 063403 Meeker Family Health Center 100 Pioneers Medical Center Dr Meeker CO 8 (Denver) 01/09/2019 UTBP11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0160 Program Evaluation Condition
J0044 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
▼ 063404 Mt San Rafael Hospital Health Clinic 400 Benedicta Ste A Trinidad CO 8 (Denver) 03/06/2024 PQ5711 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
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 063404 Mt San Rafael Hospital Health Clinic 400 Benedicta Ste A Trinidad CO 8 (Denver) 04/10/2019 ZDFF11 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
J0043 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
▼ 063407 Monte Vista Rhc Of Rio Grande Hospital 1033 2nd Avenue Monte Vista CO 8 (Denver) 01/23/2020 88J811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0037 Ep Training Program Standard
J0044 Physical Plant And Environment Standard
▼ 063408 Memorial Hospital Medical Clinic, The 785 Russell St Craig CO 8 (Denver) 08/01/2019 LDS011 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0120 Provision Of Services Condition
J0150 Patient Health Records Condition
J0044 Physical Plant And Environment Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0153 Patient Health Records Standard
▼ 063810 Lake City Area Medical Center 700 N Henson Street Lake City CO 8 (Denver) 04/02/2024 YH3C11 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
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
▼ 063810 Lake City Area Medical Center 700 N Henson Street Lake City CO 8 (Denver) 08/20/2020 UMQY11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0043 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
▼ 063837 Rocky Ford Family Health Center 1014 Elm Ave Rocky Ford CO 8 (Denver) 08/26/2025 CS9311 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
J0120 Provision Of Services Condition
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
▼ 063837 Rocky Ford Family Health Center 1014 Elm Ave Rocky Ford CO 8 (Denver) 12/06/2021 52JC11 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
J0125 Provision Of Services Standard
▼ 063858 Eastern Plains Medical Clinic Of Calhan 560 Crystola Street Calhan CO 8 (Denver) 04/05/2024 J6WM11 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
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard