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
▼ 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
▼ 238537 Mckenzie Rural Health Clinic 75 Dawson Street Sandusky MI 5 (Chicago) 09/21/2023 LDG811 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
▼ 238538 Ascension St Joseph Hale Medical Clinic 116 S Church Hale MI 5 (Chicago) 11/14/2018 0TQ811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
▼ 238541 Community Care Clinic 509 Osborne Blvd Sault Sainte Marie MI 5 (Chicago) 03/27/2025 O3BG11 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
▼ 238541 Community Care Clinic 509 Osborne Blvd Sault Sainte Marie MI 5 (Chicago) 01/04/2018 LDFV11 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
J0056 Patient Care Policies Standard