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
▼ 013856 Dekalb Clinic 415 Medical Center Drive Sw Fort Payne AL 4 (Atlanta) 03/20/2025 07VY11 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
J0125 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 013864 Pisgah Medical Clinic 6110 County Road 88 Pisgah AL 4 (Atlanta) 05/18/2022 6LPY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0080 Staffing And Staff Responsibilities Condition
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
▼ 013878 Hmc Rural Health Clinic 2201 North Airport Road Jasper AL 4 (Atlanta) 04/05/2023 5FWV11 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
J0044 Physical Plant And Environment Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
▼ 013884 Covington Pediatrics Rural Health Clinic 614 West Bypass Andalusia AL 4 (Atlanta) 04/26/2018 I9E011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0037 Ep Training Program Standard
J0021 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0055 Patient Care Policies Standard
▼ 013886 Cherokee Clinic 395 Northwood Drive Centre AL 4 (Atlanta) 01/05/2018 PPYT12 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0021 Location Of Clinic Standard
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0061 Organizational Structure Standard
J0077 Annual Total Program Evaluation Standard
▼ 013894 Guntersville Family Practice Clinic 1241 Blount Avenue Guntersville AL 4 (Atlanta) 04/23/2026 G1F311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0037 Ep Training Program Standard
J0042 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
▼ 013894 Guntersville Family Practice Clinic 1241 Blount Avenue Guntersville AL 4 (Atlanta) 02/26/2020 WHAR11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0161 Program Evaluation Standard
▼ 013902 Preferred Family Healthcare, Llc 5850 Us Highway 431, Suite 11 Albertville AL 4 (Atlanta) 02/05/2026 QSI711 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
E0029 Development Of Communication Plan Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0013 Licensure/Cert/Registration Of Personnel Standard
J0123 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 013902 Preferred Family Healthcare, Llc 5850 Us Highway 431, Suite 11 Albertville AL 4 (Atlanta) 10/31/2019 FDWV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0039 Ep Testing Requirements Standard
▼ 013904 Phil Campbell Medical Clinic 2930 Highway 237 Phil Campbell AL 4 (Atlanta) 04/12/2023 DFPK11 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