S&C QCOR EMTALA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
EMTALA 2567sPlease see here for information and guidance related to the Emergency Medical Treatment & Labor Act (EMTALA).
Selection Criteria

Time Interval

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Provider Characteristics

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Survey Results

Use these filters if you want to limit the report to providers that were cited for specific EMTALA deficiency tag citations. 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).

Facility Name or CCN

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.

CMS Certification Number Facility Name Hospital Subtype Address City State Date of CMS Survey Survey Event ID Survey Type Deficiency Tags Deficiency Descriptions Statement of Deficiencies Report
050028 Mad River Community Hospital Short Term 3800 Janes Rd Arcata CA 04/16/2021 LX0911 Complaint A2405, A2406 Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2405 Emergency Room Log Standard
050028 Mad River Community Hospital Short Term 3800 Janes Rd Arcata CA 09/25/2024 8HB011 Complaint A2400, A2409 Appropriate Transfer; Compliance With 489.24
Deficiency Tag Deficiency Description Tag Type
A2400 Appropriate Transfer Standard
050036 Bakersfield Memorial Hospital Short Term 420 34th St Bakersfield CA 10/06/2022 E2RN11 Complaint A2406 Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2406 Medical Screening Exam Standard
050038 Santa Clara Valley Medical Center Short Term 751 South Bascom Avenue San Jose CA 03/07/2012 7WQ011 Complaint A2400, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 Compliance With 489.24 Standard
050038 Santa Clara Valley Medical Center Short Term 751 South Bascom Avenue San Jose CA 01/26/2023 8X4911 Complaint A2409 Appropriate Transfer
Deficiency Tag Deficiency Description Tag Type
A2409 Appropriate Transfer Standard
050040 Lac/Olive View-Ucla Medical Center Short Term 14445 Olive View Drive Sylmar CA 07/08/2011 V3K411 Complaint A2400, A2404, A2406 Compliance With 489.24; Medical Screening Exam; On Call Physicians
Deficiency Tag Deficiency Description Tag Type
A2400 Compliance With 489.24 Standard
050047 California Pacific Medical Center- Van Ness Campus Short Term 1101 Van Ness Avenue San Francisco CA 09/09/2014 699911 Complaint A2405, A2406 Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2405 Emergency Room Log Standard
050047 California Pacific Medical Center- Van Ness Campus Short Term 1101 Van Ness Avenue San Francisco CA 10/16/2020 74BC11 Complaint A2402, A2405, A2406, A2407 Emergency Room Log; Medical Screening Exam; Posting Of Signs; Stabilizing Treatment
Deficiency Tag Deficiency Description Tag Type
A2402 Emergency Room Log Standard
050047 California Pacific Medical Center- Van Ness Campus Short Term 1101 Van Ness Avenue San Francisco CA 05/02/2025 2QQF11 Complaint A2402, A2406, A2407 Medical Screening Exam; Posting Of Signs; Stabilizing Treatment
Deficiency Tag Deficiency Description Tag Type
A2402 Medical Screening Exam Standard
050054 San Gorgonio Memorial Hospital Short Term 600 North Highland Springs Avenue Banning CA 03/12/2015 Q45Y11 Complaint A2400, A2404, A2406, A2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam; On Call Physicians
Deficiency Tag Deficiency Description Tag Type
A2400 Appropriate Transfer Standard