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
▼ 103968 Heartland Pediatrics Of Lake Wales Llc 1354 State Road 60 E Lake Wales FL 4 (Atlanta) 08/03/2023 MPQ411 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
▼ 103972 Palm Glades Rural Health Associates Inc 217 W Ave A Belle Glade FL 4 (Atlanta) 05/19/2025 K1D011 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
E0009 Local, State, Tribal Collaboration Process Standard
E0039 Ep Testing Requirements Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
▼ 103972 Palm Glades Rural Health Associates Inc 217 W Ave A Belle Glade FL 4 (Atlanta) 05/15/2018 FD9I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0080 Staffing And Staff Responsibilities Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0029 Development Of Communication Plan Standard
E0039 Ep Testing Requirements Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0062 Organizational Structure Standard
J0079 Evaluation Review Criteria Standard
▼ 103973 Sunshine Pediatrics Of Ocala Pa 1900 Sw 20th Pl Ocala FL 4 (Atlanta) 03/12/2018 V4PW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
J0045 Physician Responsibilities Standard
J0072 Protection of Record Information Standard
▼ 103974 Williston Rural Health And Wellness Clinic 300 Nw 1st Ave Williston FL 4 (Atlanta) 03/12/2025 SX1Q11 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
E0036 Ep Training And Testing 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
J0062 Organizational Structure Standard
J0123 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
▼ 103974 Williston Rural Health And Wellness Clinic 300 Nw 1st Ave Williston FL 4 (Atlanta) 04/05/2018 SMM611 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
J0047 Physician Responsibilities Standard
J0058 Patient Care Policies Standard
J0077 Annual Total Program Evaluation Standard
▼ 103999 Gateway Medical Clinic - Crestview 127 E Redstone Ave Crestview FL 4 (Atlanta) 03/08/2023 IHQT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0123 Staffing And Staff Responsibilities Standard
▼ 108906 North Florida Pediatrics 1117 Nw Us Hwy 41 Ste B Jasper FL 4 (Atlanta) 12/27/2023 IGBS11 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
▼ 108907 Heartland Pediatrics Of Lake Placid Pa 344 E Royal Palm St Lake Placid FL 4 (Atlanta) 08/01/2023 EMIX11 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
J0044 Physical Plant And Environment Standard
▼ 108922 Birth & Beyond 1326 Sr 100 Grandin FL 4 (Atlanta) 04/17/2025 VKSH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard