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
▼ 263434 Pemiscot Primary Care Clinic 907 East Reed Ave Hayti MO 7 (Kansas City) 05/25/2022 RKJ611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
▼ 263435 Piedmont Family Clinic #1 Hal'S Plaza Piedmont MO 7 (Kansas City) 11/28/2018 XIM311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0125 Provision Of Services Standard
▼ 263446 Polo Family Health Ctr 198 N Main Street Polo MO 7 (Kansas City) 11/05/2019 VSFM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
▼ 263449 Associated Medical Arts 504 North Sturgeon St Montgomery City MO 7 (Kansas City) 03/20/2019 YFA811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0123 Staffing And Staff Responsibilities Standard
▼ 263460 Pike County Memorial Hospital Clinics 2305 West Georgia Street Louisiana MO 7 (Kansas City) 12/30/2019 NN1611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
▼ 263468 Pike County Memorial Hospital Clinics 1015 West Adams Street Bowling Green MO 7 (Kansas City) 12/31/2019 7CFY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0135 Provision Of Services Standard
▼ 263472 Cox Health Center Marshfield 1245 Banning Street Marshfield MO 7 (Kansas City) 08/07/2018 DLJE11 Standard
Deficiency Tag Deficiency Description Tag Type
J0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
▼ 263474 Ccmh Medical Mall Clinic 1317 S Hwy 32 El Dorado Springs MO 7 (Kansas City) 11/02/2022 YGXH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0043 Physical Plant And Environment Standard
▼ 263479 Mercy Hospital Lincoln Family Medicine Troy 1003 E Cherry St Troy MO 7 (Kansas City) 11/25/2019 OICQ11 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
J0161 Program Evaluation Standard
▼ 263480 Coxhealth Center Branson West 18452 Business 13 Branson West MO 7 (Kansas City) 12/04/2019 DPT911 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
J0001 Certification Procedures Condition
J0080 Staffing And Staff Responsibilities Condition
J0120 Provision Of Services Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0037 Ep Training Program Standard
J0043 Physical Plant And Environment Standard
J0044 Physical Plant And Environment Standard
J0100 Staffing And Staff Responsibilities Standard
J0102 Staffing And Staff Responsibilities Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0136 Provision Of Services Standard
J0152 Patient Health Records Standard