S&C QCOR RHC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 113863 Family Practice & Surgery 120 Sparta Highway Eatonton GA 4 (Atlanta) 06/24/2019 J3YY11 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
▼ 113869 Mountain Valley Medical Center 92 Betty'S Creek Road Dillard GA 4 (Atlanta) 02/16/2026 OW9Z11 null
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
J0160 Program Evaluation Condition
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
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
J0042 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0082 Staffing And Staff Responsibilities Standard
J0086 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0136 Provision Of Services Standard
J0151 Patient Health Records Standard
J0153 Patient Health Records Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 113869 Mountain Valley Medical Center 92 Betty'S Creek Road Dillard GA 4 (Atlanta) 08/07/2018 HTQ211 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
E0013 Development Of Ep Policies And Procedures Standard
E0037 Ep Training Program Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0077 Annual Total Program Evaluation Standard
▼ 113952 Hiawassee Family Practice, Pc 56 Hospital Street Hiawassee GA 4 (Atlanta) 08/15/2018 DGXE11 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
E0013 Development Of Ep Policies And Procedures Standard
E0037 Ep Training Program Standard
J0022 Location Of Clinic Standard
J0058 Patient Care Policies Standard
J0077 Annual Total Program Evaluation Standard
▼ 113958 Medical Center Of Elberton, Llp, The 109 College Avenue Elberton GA 4 (Atlanta) 07/16/2024 EONO11 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
▼ 113998 Warwick Health Care Clinic 135 Dogwood Street Warwick GA 4 (Atlanta) 03/11/2021 SWI111 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
J0160 Program Evaluation Condition
J0042 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 118508 Optim Primary Care- Reidsville 125 Memorial Drive Reidsville GA 4 (Atlanta) 09/10/2021 JFOX11 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
J0043 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 118509 Lifebrite Family Medical 11045 Columbia Street Blakely GA 4 (Atlanta) 09/25/2019 P85111 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
J0136 Provision Of Services Standard
▼ 118512 Optim Primary Care- Metter 380a Cedar Street Metter GA 4 (Atlanta) 08/17/2023 BU5X11 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
▼ 118520 Appling Medical Group 105 E Tollison Street Ste B Baxley GA 4 (Atlanta) 09/09/2021 GFZX11 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
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard