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
▼ 10C0001214 The Outpatient Center Llc 2351 South Seacrest Blvd Boynton Beach FL 4 (Atlanta) 01/31/2023 5E836-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001214 The Outpatient Center Llc 2351 South Seacrest Blvd Boynton Beach FL 4 (Atlanta) 01/05/2018 JE7E21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 10C0001214 The Outpatient Center Llc 2351 South Seacrest Blvd Boynton Beach FL 4 (Atlanta) 01/03/2018 JE7E11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0105 EMERGENCY EQUIPMENT Standard
Q0184 VERBAL ORDERS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 ADMISSION ASSESSMENT Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 10C0001215 Sarasota Opthamology Asc Llc 3920 Bee Ridge Rd Building F Ste C Sarasota FL 4 (Atlanta) 02/09/2022 0CNI21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 10C0001217 Citrus Endoscopy & Surgery Center 6412 West Gulf To Lake Highway Crystal River FL 4 (Atlanta) 02/06/2025 64E9A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001218 Atlantic Surgery Center 541 Health Blvd Daytona Beach FL 4 (Atlanta) 09/24/2025 66478-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0232 Aisle, Corridor, or Ramp Width Standard
K0291 Emergency Lighting Standard
K0355 Portable Fire Extinguishers Standard
▼ 10C0001219 Brevard Surgery Center, Inc 665 Apollo Blvd Melbourne FL 4 (Atlanta) 03/15/2024 5F2CF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0042 HOSPITALIZATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001219 Brevard Surgery Center, Inc 665 Apollo Blvd Melbourne FL 4 (Atlanta) 06/21/2023 5F2CF-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 10C0001219 Brevard Surgery Center, Inc 665 Apollo Blvd Melbourne FL 4 (Atlanta) 08/21/2018 D7W011 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 10C0001219 Brevard Surgery Center, Inc 665 Apollo Blvd Melbourne FL 4 (Atlanta) 08/21/2018 D7W021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0034 Information on Occupancy/Needs Standard
K0223 Doors with Self-Closing Devices Standard