S&C QCOR RHC 2567s
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RHCs 2567s
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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
▼ 013961 Bbh Primary And Specialty Care Network 803 North Street East Talladega AL 4 (Atlanta) 01/18/2018 IOO111 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0076 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0023 Location Of Clinic Standard
J0024 Location Of Clinic Standard
J0042 Physical Plant And Environment Standard
J0055 Patient Care Policies Standard
J0058 Patient Care Policies Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
J0077 Annual Total Program Evaluation Standard
▼ 013962 Fort Mitchell Clinic Pc 2 Gilmore Rd Fort Mitchell AL 4 (Atlanta) 02/14/2018 OFVS11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0020 Location Of Clinic Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0023 Location Of Clinic Standard
J0055 Patient Care Policies Standard
J0062 Organizational Structure Standard
J0070 Records System Standard
▼ 013963 Millry Pediatric Clinic, Llc 73 Long Street Millry AL 4 (Atlanta) 03/07/2018 H95T11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0020 Location Of Clinic Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0021 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0070 Records System Standard
▼ 013964 Roanoke Rural Health Clinic 1950 Main Street Roanoke AL 4 (Atlanta) 01/07/2026 KQI811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0029 Development Of Communication Plan Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0161 Program Evaluation Standard
▼ 013964 Roanoke Rural Health Clinic 1950 Main Street Roanoke AL 4 (Atlanta) 03/12/2018 F1GA11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
J0076 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
J0021 Location Of Clinic Standard
J0023 Location Of Clinic Standard
J0048 Physician Responsibilities Standard
J0055 Patient Care Policies Standard
J0062 Organizational Structure Standard
J0070 Records System Standard
J0077 Annual Total Program Evaluation Standard
▼ 013965 Medical East Of Decatur 2941 Point Mallard Parkway Decatur AL 4 (Atlanta) 04/10/2025 3BVZ11 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
J0084 Staffing And Staff Responsibilities Standard
▼ 013965 Medical East Of Decatur 2941 Point Mallard Parkway Decatur AL 4 (Atlanta) 04/03/2018 6IK012 Standard
Deficiency Tag Deficiency Description Tag Type
J0020 Location Of Clinic Condition
J0023 Location Of Clinic Standard
J0034 Disclosure of Personnel Standard
J0048 Physician Responsibilities Standard
J0058 Patient Care Policies Standard
J0062 Organizational Structure Standard
J0070 Records System Standard
J0077 Annual Total Program Evaluation Standard
▼ 013966 South Alabama Medical Clinic, Llc 10075 Grand Bay Wilmer Road Grand Bay AL 4 (Atlanta) 03/22/2018 NIL811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
E0029 Development Of Communication Plan Standard
J0023 Location Of Clinic Standard
J0055 Patient Care Policies Standard
▼ 013967 Crenshaw Family Care Center 58 Roy Beall Drive Luverne AL 4 (Atlanta) 01/04/2018 FOZ212 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0022 Location Of Clinic Standard
J0023 Location Of Clinic Standard
▼ 013970 Sulligent Medical Clinic 1390 Walnut Street Sulligent AL 4 (Atlanta) 12/10/2025 15QC11 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
J0136 Provision Of Services Standard