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
▼ 10C0001190 Nw Florida Gastroenterology Center 204b E 19th St Panama City FL 4 (Atlanta) 04/30/2025 65FCD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 10C0001190 Nw Florida Gastroenterology Center 204b E 19th St Panama City FL 4 (Atlanta) 07/21/2021 MP4B11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0184 VERBAL ORDERS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 10C0001193 North Florida Surgery Center 4600 North Davis Highway Pensacola FL 4 (Atlanta) 12/08/2021 L3EP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001194 Winter Park Surgery Center, Lp 1245 N Orange Ave Ste 100 Winter Park FL 4 (Atlanta) 03/04/2025 65767-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
▼ 10C0001194 Winter Park Surgery Center, Lp 1245 N Orange Ave Ste 100 Winter Park FL 4 (Atlanta) 09/27/2022 4EDA9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001196 Bay Area Endoscopy And Surgery Center Limited Partnership 5771 49th St N Saint Petersburg FL 4 (Atlanta) 03/26/2026 1E2EC6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
▼ 10C0001196 Bay Area Endoscopy And Surgery Center Limited Partnership 5771 49th St N Saint Petersburg FL 4 (Atlanta) 09/16/2021 4NXZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001202 Physicians Ambulatory Surgery Center 300 Clyde Morris Blvd Suite B Ormond Beach FL 4 (Atlanta) 12/09/2025 1DB7DD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001202 Physicians Ambulatory Surgery Center 300 Clyde Morris Blvd Suite B Ormond Beach FL 4 (Atlanta) 01/24/2019 EPYI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 10C0001202 Physicians Ambulatory Surgery Center 300 Clyde Morris Blvd Suite B Ormond Beach FL 4 (Atlanta) 01/22/2019 EPYI21 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