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
▼ 233977 Scheurer Family Medical Center 168 N Caseville Rd Pigeon MI 5 (Chicago) 06/15/2023 OTAN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 233979 St Ignace Medical Clinic 1140 North State Street Saint Ignace MI 5 (Chicago) 11/20/2024 YBYH11 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
▼ 233981 Gibson Family Health Center 502 W Harrie St Newberry MI 5 (Chicago) 11/18/2024 6P8K11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
▼ 233986 Ascension St Joseph Hospital Internal Medicine Cli 295 Maple St Tawas City MI 5 (Chicago) 10/21/2024 1TF611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0041 Physical Plant And Environment Standard
▼ 233991 St Joseph Huron Family Medicine Clinic 700 East German Street Tawas City MI 5 (Chicago) 07/26/2019 1TVP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0041 Physical Plant And Environment Standard
J0152 Patient Health Records Standard
▼ 238506 Three Rivers Health Family Care White Pigeon 601 E Chicago Rd White Pigeon MI 5 (Chicago) 05/30/2018 XAX811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0042 Integrated Ep Program Standard
▼ 238521 Mymichigan Medical Center Alma 302 W Chestnut Breckenridge MI 5 (Chicago) 03/20/2025 Q6SW11 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
J0100 Staffing And Staff Responsibilities Standard
▼ 238533 Bronson Lakeview Family Care-Bangor 520 Railroad St Bangor MI 5 (Chicago) 04/10/2025 BTR411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0044 Physical Plant And Environment Standard
▼ 238533 Bronson Lakeview Family Care-Bangor 520 Railroad St Bangor MI 5 (Chicago) 05/08/2018 GB8L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0037 Staffing and Staff Responsibilities Condition
J0041 Physical Plant And Environment Standard
▼ 238534 St Joseph Health System Womens Clinic 25 E M-55 Tawas City MI 5 (Chicago) 05/23/2018 FC5E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
J0023 Location Of Clinic Standard
J0072 Protection of Record Information Standard
J0086 Staffing And Staff Responsibilities Standard