S&C QCOR ASC 2567s
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ASCs 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 ASC 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
▼ 02C0001016 Alaska Heart Institute, Llc 3220 Providence Drive, Suite E3-083 Anchorage AK 10 (Seattle) 04/24/2019 X8IS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 02C0001016 Alaska Heart Institute, Llc 3220 Providence Drive, Suite E3-083 Anchorage AK 10 (Seattle) 04/19/2019 X8IS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0230 EXERCISE OF RIGHTS BY OTHERS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 03C0001001 Banner Phoenix Surgery Center 1111 East Mcdowell Road, Suite B Phoenix AZ 9 (San Francisco) 07/26/2023 60358-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0223 Doors with Self-Closing Devices Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 03C0001001 Banner Phoenix Surgery Center 1111 East Mcdowell Road, Suite B Phoenix AZ 9 (San Francisco) 07/13/2023 60358-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 03C0001001 Banner Phoenix Surgery Center 1111 East Mcdowell Road, Suite B Phoenix AZ 9 (San Francisco) 08/28/2019 S5OX21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 03C0001013 Barnet Dulaney Perkins Eye Center Ii Pllc 5632 East 5th Street Tucson AZ 9 (San Francisco) 12/20/2022 5E787-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 03C0001016 Surgery Center Of Peoria, Llc 13260 North 94th Drive, Suite 200 Peoria AZ 9 (San Francisco) 04/23/2024 62CED-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001016 Surgery Center Of Peoria, Llc 13260 North 94th Drive, Suite 200 Peoria AZ 9 (San Francisco) 04/23/2024 62CED-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0911 Electrical Systems - Other Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
▼ 03C0001020 Swagel Wootton Eye Center 220 South 63rd Street Mesa AZ 9 (San Francisco) 01/11/2018 FEXX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
E0039 EP Testing Requirements Standard
▼ 03C0001020 Swagel Wootton Eye Center 220 South 63rd Street Mesa AZ 9 (San Francisco) 01/11/2018 FEXX21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard