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
▼ 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
▼ 258681 Ummc Grenada Primary Medicine Clinic 1300 Sunset Drive, Suite R Grenada MS 4 (Atlanta) 08/21/2024 UOF511 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
▼ 258925 Children's Clinic Oxford 2888 South Lamar Blvd Oxford MS 4 (Atlanta) 10/18/2022 ARII11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
E0036 Ep Training And Testing Standard
J0011 Compliance With Fed., State & Local Laws Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0110 Covid-19 Vaccination Of Facility Staff Standard
J0152 Patient Health Records Standard
▼ 258954 Family Clinic Of New Albany 474 West Bankhead Street New Albany MS 4 (Atlanta) 04/26/2022 HDKO11 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
▼ 258968 Pinnacle Medical Clinic 7900 Ms Hwy 570 West Summit MS 4 (Atlanta) 02/09/2022 2OPZ11 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