S&C QCOR RHC 2567s
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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
▼ 168603 Unitypoint Clinic Pediatrics Fort Dodge 804 Kenyon Road, Suite D Fort Dodge IA 7 (Kansas City) 11/14/2018 YQNW11 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
▼ 168604 Unitypoint Clinic - Kenyon Road 800 Kenyon Road, Suite O, Q, R, S, T, U, X & Y Fort Dodge IA 7 (Kansas City) 11/15/2018 WKW811 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
▼ 168605 Unitypoint Clinic Family Medicine Lake View 208 Main Street Lake View IA 7 (Kansas City) 07/24/2019 3R5J11 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
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
J0125 Provision Of Services Standard
▼ 168606 Unitypoint Clinic Family Medicine Manson 1303 11th Avenue Manson IA 7 (Kansas City) 09/17/2019 NXSY11 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
J0043 Physical Plant And Environment Standard
▼ 168607 Buchanan County Health Center 1600 1st Street E Independence IA 7 (Kansas City) 02/10/2021 1IF711 Special, 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
J0161 Program Evaluation Standard
▼ 168608 Unitypoint Health- Family Medicine Clinic-Shellsbu 131 Main Street Nw Shellsburg IA 7 (Kansas City) 02/01/2021 KKFW11 Special, 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
J0122 Provision Of Services Standard
▼ 168609 Unitypoint Health-Family Medicine Clinic-Vinton 1803 C Avenue Vinton IA 7 (Kansas City) 01/20/2021 D3HR11 Special, 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
J0043 Physical Plant And Environment Standard
J0135 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 168610 Unitypoint Health-Family Medicine Clinic-Belle Pla 105 9th Avenue Belle Plaine IA 7 (Kansas City) 07/30/2024 Z5DY11 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
J0043 Physical Plant And Environment Standard
▼ 168610 Unitypoint Health-Family Medicine Clinic-Belle Pla 105 9th Avenue Belle Plaine IA 7 (Kansas City) 02/25/2021 6CMP11 Special, 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
J0122 Provision Of Services Standard
▼ 168610 Unitypoint Health-Family Medicine Clinic-Belle Pla 105 9th Avenue Belle Plaine IA 7 (Kansas City) 08/20/2019 ELO411 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