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
▼ 193870 St James Primary Care 827 Pine Street Gramercy LA 6 (Dallas) 03/01/2018 2HT411 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
J0021 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0032 Basic Requirements Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
▼ 193871 Simmesport Family Clinic 417 North Martin Luther King Drive Simmesport LA 6 (Dallas) 02/07/2018 T5J611 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0063 Services Provided By Agreements Standard
▼ 193873 Chadha Medical Clinic 140 West Fourth Street Dequincy LA 6 (Dallas) 09/12/2018 I3TO11 Standard
Deficiency Tag Deficiency Description Tag Type
J0022 Location Of Clinic Standard
▼ 193875 St James Primary Care 502 Rue De Sante La Place LA 6 (Dallas) 03/12/2018 09TQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0080 Staffing And Staff Responsibilities Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0032 Primary/Alternate Means For Communication Standard
E0034 Information On Occupancy/Needs Standard
E0037 Ep Training Program Standard
J0057 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0070 Records System Standard
J0079 Evaluation Review Criteria Standard
J0081 Staffing And Staff Responsibilities Standard
▼ 193876 Our Lady Of The Lake Physician Group - Riverside 18740 Hwy 22 Maurepas LA 6 (Dallas) 10/11/2019 T8SG11 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
▼ 193879 The Women's Clinic 427 Homer Road Minden LA 6 (Dallas) 10/16/2018 JFK311 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
▼ 193883 Pediatric & Adolescent Clinic 1806 Carter Street Vidalia LA 6 (Dallas) 08/30/2023 D2TT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0124 Provision Of Services Standard
J0135 Provision Of Services Standard
▼ 193883 Pediatric & Adolescent Clinic 1806 Carter Street Vidalia LA 6 (Dallas) 09/14/2021 XXVU11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0161 Program Evaluation Standard
▼ 193883 Pediatric & Adolescent Clinic 1806 Carter Street Vidalia LA 6 (Dallas) 04/01/2019 54MK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0160 Program Evaluation Condition
J0101 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0136 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 193885 St Martinville Maternal-Child And Adult Clinic 1119 N Main Street Saint Martinville LA 6 (Dallas) 07/11/2023 Q7GN11 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
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard