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
▼ 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
▼ 168622 Marcus Medical Clinic 300 E Pine Street Marcus IA 7 (Kansas City) 01/10/2023 RSZU11 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
J0081 Staffing And Staff Responsibilities Standard
▼ 168624 Bchc Family Medicine - Oelwein 2405 Rock Island Road Oelwein IA 7 (Kansas City) 03/23/2021 3O5P11 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
▼ 168624 Bchc Family Medicine - Oelwein 2405 Rock Island Road Oelwein IA 7 (Kansas City) 09/16/2019 OCDN11 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
E0037 Ep Training Program Standard
J0043 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
▼ 168628 Unitypoint Clinic - Mulberry 1518 Mulberry Avenue, Suite 101, 102, & 204 Muscatine IA 7 (Kansas City) 03/03/2022 PSDV11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
J0161 Program Evaluation Standard
▼ 168631 Unitypoint Clinic - Family Medicine - Wilton 400 Oversen Drive Wilton IA 7 (Kansas City) 05/23/2022 CC2611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
▼ 168634 Unitypoint Clinic-Family Medicine-Grundy Center 101 East J Avenue, Suite 120 Grundy Center IA 7 (Kansas City) 01/11/2023 FEEY11 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
J0043 Physical Plant And Environment Standard
J0125 Provision Of Services Standard