S&C QCOR RHC 2567s
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RHCs 2567s
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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
▼ 263849 Desoto Family Practice 12 Jefferson Square De Soto MO 7 (Kansas City) 10/24/2024 JV9N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0136 Provision Of Services Standard
▼ 263849 Desoto Family Practice 12 Jefferson Square De Soto MO 7 (Kansas City) 01/10/2018 YY9F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0023 Location Of Clinic Standard
J0047 Physician Responsibilities Standard
J0051 Physician Assistant/Nurse Practitioner Responsibilities Standard
J0058 Patient Care Policies Standard
▼ 263850 Mercy Clinic-Steelville 518 Pine Street Steelville MO 7 (Kansas City) 10/26/2020 2FMR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0136 Provision Of Services Standard
▼ 263870 Mercy Clinic - Salem 404 W Rolla Road Salem MO 7 (Kansas City) 04/14/2021 MMR311 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
▼ 263874 Conway Family Clinic 301 South Newport Ave, Po Box 9 Conway MO 7 (Kansas City) 04/24/2024 HQQ011 Standard
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
J0040 Physical Plant And Environment Condition
J0120 Provision Of Services Condition
J0160 Program Evaluation Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0013 Development Of Ep Policies And Procedures Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0124 Provision Of Services Standard
J0125 Provision Of Services Standard
J0135 Provision Of Services Standard
J0161 Program Evaluation Standard
▼ 263889 Medstop One 3065 Williams Street, Suite 209 Cape Girardeau MO 7 (Kansas City) 05/17/2018 K8J011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
J0023 Location Of Clinic Standard
J0061 Organizational Structure Standard
J0062 Organizational Structure Standard
▼ 263897 Saint Francis Clinic Cape Girardeau Kingshighway 1702 North Kingshighway Cape Girardeau MO 7 (Kansas City) 06/21/2018 X1S211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0020 Location Of Clinic Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
J0032 Basic Requirements Standard
J0056 Patient Care Policies Standard
J0058 Patient Care Policies Standard
▼ 263906 Ssm Glennon Care Pediatrics-Troy 164 Professional Parkway Troy MO 7 (Kansas City) 04/25/2023 1NBW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
J0000 Initial Comments - Not A Deficiency Citation Memo
J0123 Staffing And Staff Responsibilities Standard
J0161 Program Evaluation Standard
J0162 Program Evaluation Standard
▼ 263909 Mercy Clinic Family Medicine-Cassville 92 Main Street Cassville MO 7 (Kansas City) 08/30/2023 JJ6711 Standard
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
J0042 Physical Plant And Environment Standard
J0043 Physical Plant And Environment Standard
J0101 Staffing And Staff Responsibilities Standard
J0125 Provision Of Services Standard
▼ 263911 Nixa Family Medical Walk In Cl 103 Old Wolderness Road Nixa MO 7 (Kansas City) 03/07/2019 C7V711 Standard
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0036 Ep Training And Testing Standard
J0136 Provision Of Services Standard