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
▼ 013454 Carrollton Primary Care 289 William E Hill Drive Carrollton AL 4 (Atlanta) 01/23/2019 48MX11 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
E0004 Develop Ep Plan, Review And Update Annually Standard
J0041 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
J0140 Provision Of Services Standard
▼ 013456 Family Care Clinic 825 West Washington Street, Suite 7 Eufaula AL 4 (Atlanta) 01/05/2022 S02E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 013457 Regional Medical Center Clinics 300 N College Street Greenville AL 4 (Atlanta) 11/02/2022 5C7M11 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
E0037 Ep Training Program Standard
J0041 Physical Plant And Environment 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
J0136 Provision Of Services Standard
▼ 013458 Complete Family Care 94 Medical Circle Moulton AL 4 (Atlanta) 02/16/2022 WJ5X11 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
▼ 013461 J Paul Jones Hospital Rural Health Clinic 45 Industrial Drive W Pine Hill AL 4 (Atlanta) 03/28/2023 X2O611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
▼ 013471 Family Medical Clinic Of Jackson 227 Hospital Drive Jackson AL 4 (Atlanta) 05/01/2025 PZI511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
▼ 013472 Gilbertown Family Medical Clinic 12731 Highway 17 Gilbertown AL 4 (Atlanta) 05/10/2018 7XQ611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0055 Patient Care Policies Standard
▼ 013473 Ivy Creek Family Care Of Tallassee 2256 Gilmer Avenue Tallassee AL 4 (Atlanta) 12/10/2025 GXZJ11 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
J0125 Provision Of Services Standard
▼ 013473 Ivy Creek Family Care Of Tallassee 2256 Gilmer Avenue Tallassee AL 4 (Atlanta) 09/18/2018 5ZO211 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0013 Development Of Ep Policies And Procedures Standard
J0039 Staffing Standard
▼ 013474 Ivy Creek Family Care Holtville 4412 Hogan Road Deatsville AL 4 (Atlanta) 12/16/2025 T3Z311 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
E0037 Ep Training Program Standard
J0123 Staffing And Staff Responsibilities Standard