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
▼ 168583 Gundersen Palmer Lutheran Hosp & Clin - Postville 111 South Reynolds Postville IA 7 (Kansas City) 09/16/2021 Z6ZV11 Special, 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
J0043 Physical Plant And Environment Standard
▼ 168584 Gundersen Palmer Lutheran Hosp & Clinics-Fayette 110 King Street Fayette IA 7 (Kansas City) 10/25/2022 S6ZK11 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
▼ 168584 Gundersen Palmer Lutheran Hosp & Clinics-Fayette 110 King Street Fayette IA 7 (Kansas City) 09/17/2019 D4EF11 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
J0100 Staffing And Staff Responsibilities Standard
J0136 Provision Of Services Standard
▼ 168586 Unitypoint Hlth Jones Reg Med Ctr Anamosa Clinic 1791 Highway 64 East Anamosa IA 7 (Kansas City) 02/24/2021 9YH311 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0153 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 168593 Unitypoint Health- Family Medicine Clinic-Tipton 1412 Cedar Street Tipton IA 7 (Kansas City) 02/09/2021 0V3U11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0032 Primary/Alternate Means For Communication Standard
J0043 Physical Plant And Environment Standard
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
▼ 168593 Unitypoint Health- Family Medicine Clinic-Tipton 1412 Cedar Street Tipton IA 7 (Kansas City) 09/10/2019 GBBI11 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
▼ 168596 Unitypoint Clinic Family Medicine Laurens 307 West Highway 10 Laurens IA 7 (Kansas City) 09/17/2019 3JRP11 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
J0044 Physical Plant And Environment Standard
J0061 Organizational Structure Standard
J0085 Staffing And Staff Responsibilities Standard
J0135 Provision Of Services Standard
▼ 168597 Unitypoint Clinic Family Medicine Humboldt 1000 15th Street North, Suite A Humboldt IA 7 (Kansas City) 09/24/2019 U98211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
J0161 Program Evaluation Standard
▼ 168598 Unitypoint Clinic Family Medicine Pocahontas 608 Nw Seventh Street Pocahontas IA 7 (Kansas City) 09/18/2019 7DGF11 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
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0135 Provision Of Services Standard
▼ 168599 Unitypoint Clinic Family Medicine Second Ave North 1428 2nd Avenue North Fort Dodge IA 7 (Kansas City) 11/20/2018 RHLI11 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