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
▼ 243465 Centracare Clinic- Sauk Centre 425 Elm Street North Sauk Centre MN 5 (Chicago) 07/18/2018 N88L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0023 Location Of Clinic Standard
▼ 243484 Gundersen St Elizabeth's Hospital & Clinics-Wabash 1200 Grant Blvd West Wabasha MN 5 (Chicago) 06/26/2018 T9QZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0006 Location Of Clinic Condition
J0008 Basic Requirements Standard
J0057 Patient Care Policies Standard
▼ 243846 Sanford Health Twin Valley Clinic 501 2nd Street Northwest Twin Valley MN 5 (Chicago) 09/04/2019 HJ3V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0101 Staffing And Staff Responsibilities Standard
▼ 243986 Astera Health Sebeka Clinic 106 Minnesota Avenue East Sebeka MN 5 (Chicago) 01/13/2020 HVDJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0161 Program Evaluation Standard
▼ 253418 Itta Bena Clinic 103 Basket Street Itta Bena MS 4 (Atlanta) 01/19/2023 JBB211 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
▼ 253474 Rush Central Clinic 1221 24th Avenue Meridian MS 4 (Atlanta) 10/06/2022 CI3I11 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
▼ 253481 Lucedale Ob/Gyn Center 859 Winter Street, Ste A Lucedale MS 4 (Atlanta) 08/22/2018 FCKO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0059 Direct Services Standard
▼ 253487 Macon Primary Clinic 78 Hospital Road Macon MS 4 (Atlanta) 10/19/2021 IECM11 Special, 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
▼ 253497 C C H Clinc Family Medical 701 Holly Avenue Collins MS 4 (Atlanta) 03/04/2021 BHC111 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
▼ 253800 Gorton Rural Health Clinic, Llc 107 Church Street Belzoni MS 4 (Atlanta) 03/29/2022 YY5O11 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
J0013 Licensure/Cert/Registration Of Personnel Standard
J0044 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0153 Patient Health Records Standard