S&C QCOR RHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
113453 Physicians' Health Group- Wadley 162 North Main Street Wadley GA 4 (Atlanta) 02/26/2020 4I1811 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
J0042 Physical Plant And Environment Standard
113460 Coffee Regional First Care 205 Shirley Ave Douglas GA 4 (Atlanta) 02/10/2022 J52N11 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
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
113474 Archbold Pediatrics Camilla 25 Perry Street Camilla GA 4 (Atlanta) 09/24/2019 8DBV11 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
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0036 Ep Training And Testing Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
113497 Robert E. Jennings Medical Clinic 103 R.E. Jennings Avenue, Arlington GA 4 (Atlanta) 10/02/2019 3VTN11 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
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
113498 Wrens Physicians' Health Group 400 Canterbury Drive Wrens GA 4 (Atlanta) 12/19/2024 1XLK11 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
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
113825 Carroll County Primary Health Care Clinic 4248 Mt. Zion Road Mount Zion GA 4 (Atlanta) 08/25/2021 NRF411 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
113835 Carroll County Primary Health Care Clinic 41 Wellington Mill Road Whitesburg GA 4 (Atlanta) 12/29/2021 SVXF11 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
113862 Family Practice & Surgery Center 446 Spring Street Sparta GA 4 (Atlanta) 02/18/2026 D0NF11 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
E0006 Plan Based On All Hazards Risk Assessment Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
J0153 Patient Health Records Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
113862 Family Practice & Surgery Center 446 Spring Street Sparta GA 4 (Atlanta) 06/26/2019 K5DJ11 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
J0042 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
113863 Family Practice & Surgery 120 Sparta Highway Eatonton GA 4 (Atlanta) 02/19/2026 L2I511 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
E0006 Plan Based On All Hazards Risk Assessment Standard
J0042 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
J0153 Patient Health Records Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard