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
▼ 178567 Hillsboro Clinic 101 Industrial Road Hillsboro KS 7 (Kansas City) 11/14/2018 DT5411 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
▼ 178578 Allen County Regional Clinic 401 South Washington Iola KS 7 (Kansas City) 10/23/2024 4G8H11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 178587 Cunningham Clinic 112 N Main Street Cunningham KS 7 (Kansas City) 12/13/2018 OT2011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0062 Organizational Structure Standard
▼ 178588 Kingman Healthcare Center Family Clinic 750 W D Avenue Kingman KS 7 (Kansas City) 12/12/2018 FLPR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0062 Organizational Structure Standard
J0125 Provision Of Services Standard
▼ 178591 Clara Barton Medical Clinic-Great Bend 1031 Jackson Street Great Bend KS 7 (Kansas City) 02/06/2019 R0Z411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
▼ 178594 Family Medicine Of Washington County 302 E 2nd Street Washington KS 7 (Kansas City) 02/08/2019 576E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
J0152 Patient Health Records Standard
▼ 178604 Donley Memorial Clinic 437 North Cedar Street Kingman KS 7 (Kansas City) 12/11/2018 T1CQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0062 Organizational Structure Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
▼ 178611 Olathe Health Family Medicine-Paola 1318 Kansas Drive Paola KS 7 (Kansas City) 03/17/2022 FPGQ11 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
▼ 178615 Olathe Health Family Medicine - Osawatomie 100 East Main Street Osawatomie KS 7 (Kansas City) 03/15/2022 DGYQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0136 Provision Of Services Standard
▼ 178966 Family Prac Assoc Of Wstrn Ks 120 West Ross Blvd Dodge City KS 7 (Kansas City) 02/25/2026 3XPE11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0125 Provision Of Services Standard