S&C QCOR RHC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
RHCs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
258541 Brooksville Medical Clinic 1560 North Oliver Street/ P O Box 480 Brooksville MS 4 (Atlanta) 08/09/2018 6IDB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0019 Physical Plant And Environment Condition
258544 Greene County Family Medical Clinic 1017 Jackson Avenue Leakesville MS 4 (Atlanta) 03/17/2022 8SBG11 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
258556 Pearl River Family Clinic 302 Highway 11 South Poplarville MS 4 (Atlanta) 01/10/2024 OQ6U11 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
258557 Sgh Medical Clinic 1827 C Simpson Hwy 149 Mendenhall MS 4 (Atlanta) 05/08/2018 YRSF11 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
J0032 Basic Requirements Standard
J0057 Patient Care Policies Standard
258562 Family Care Express 3275 Highway 49 Suite E Collins MS 4 (Atlanta) 03/18/2019 E5NY11 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
258575 Family Medical Clinic 1500 Highway 19 North Meridian MS 4 (Atlanta) 07/08/2021 2M3111 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
J0136 Provision Of Services Standard
258582 Forest Family Practice 1 Medical Lane, Suite B Forest MS 4 (Atlanta) 08/09/2022 DZS811 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
258601 Holcomb Clinic 1301 Sunset Drive, Suite E Grenada MS 4 (Atlanta) 08/23/2024 3FQV11 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
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0136 Provision Of Services Standard
258623 Winston Medical Clinic-Main Street 16569 West Main Street Louisville MS 4 (Atlanta) 08/13/2024 4XN611 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
J0153 Patient Health Records Standard
258624 Frye Magnolia Clinic 111 Magnolia Street Magnolia MS 4 (Atlanta) 08/27/2024 2R3B11 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