S&C QCOR RHC 2567s
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RHCs 2567s
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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
▼ 103921 Forest Family Health 15932 E Hwy 40 Silver Springs FL 4 (Atlanta) 01/27/2025 IPSR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
▼ 103932 Chiefland Medical Center Llc 1113 Nw 23rd Ave Chiefland FL 4 (Atlanta) 02/11/2025 9ZLK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0037 Ep Training Program Standard
J0041 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
▼ 103933 Kids Health Alliance Pa 2650 Nw 2nd St Ocala FL 4 (Atlanta) 01/29/2025 W8RG11 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
▼ 103942 Nature Coast Family Health Clinic 3400 N Lecanto Hwy Beverly Hills FL 4 (Atlanta) 09/19/2023 NQRI11 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
E0033 Methods For Sharing Information Standard
J0042 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 103944 Bellam Medical Clinic 20021 Sw 111th Pl Dunnellon FL 4 (Atlanta) 08/22/2023 YR6Y11 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
▼ 103951 Express Care Of Belleview 10762 S Us Hwy 441 Belleview FL 4 (Atlanta) 09/05/2019 7C4W11 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
E0013 Development Of Ep Policies And Procedures Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0029 Development Of Communication Plan Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 103952 Sonni's Pediatrics Inc 1125 S 6th Ave Wachula FL 4 (Atlanta) 05/09/2022 F01511 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
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0044 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0152 Patient Health Records Standard
▼ 103964 Dynamic Primary Healthcare Clinic Inc 163 Sw Stonegate Ter Ste 109 Lake City FL 4 (Atlanta) 02/25/2025 KD4E11 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
E0013 Development Of Ep Policies And Procedures Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0062 Organizational Structure Standard
J0135 Provision Of Services Standard
▼ 103966 Citra Family Health 17805 Us Hwy 301 N Citra FL 4 (Atlanta) 05/02/2024 BTG511 Complaint
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 103966 Citra Family Health 17805 Us Hwy 301 N Citra FL 4 (Atlanta) 09/15/2020 3D7T11 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