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
▼ 238901 Boardman Family Practice 4713 Pine Street South Boardman MI 5 (Chicago) 02/19/2021 YPZQ11 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
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 238901 Boardman Family Practice 4713 Pine Street South Boardman MI 5 (Chicago) 07/15/2020 7DMS11 Special
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
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
▼ 238902 Mclaren Primary Care-Mio 558 Lockwood Lane Mio MI 5 (Chicago) 08/31/2020 K7XF11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
J0152 Patient Health Records Standard
▼ 238916 Primary Care Associates Of Jonesville Llc 100 E Chicago Street Jonesville MI 5 (Chicago) 07/16/2018 Z1LH11 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
J0021 Location Of Clinic Standard
J0061 Organizational Structure Standard
▼ 238917 Charles R Barker Jr Do Family Practice Pc 1320 W State St, 3a Belding MI 5 (Chicago) 06/07/2018 7W5C11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
J0022 Location Of Clinic Standard
▼ 238932 Caro Health Plaza 1525 W Caro Road Caro MI 5 (Chicago) 01/11/2022 Y4ZB11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0040 Physical Plant And Environment Condition
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0084 Staffing And Staff Responsibilities Standard
▼ 243438 Ridgeview Henderson Clinic 505 Main Street Henderson MN 5 (Chicago) 10/03/2019 YNDF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
J0081 Staffing And Staff Responsibilities Standard
▼ 243458 Riverview Clinic 323 South Minnesota Street Crookston MN 5 (Chicago) 05/22/2018 C3TL11 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
J0034 Disclosure of Personnel Standard
J0035 Disclosure Of Personnel Standard
J0036 Disclosure Of Personnel Standard
▼ 243459 Riverview Clinic 306 North Mill Street Fertile MN 5 (Chicago) 06/12/2018 NDDI11 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
▼ 243460 Riverview Clinic 105 International Drive Suite 25 Red Lake Falls MN 5 (Chicago) 06/13/2018 Y7KM11 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