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
▼ 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
▼ 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