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
▼ 10C0001254 Ocala Eye Surgery Center,The 3330 S W 33rd Road Ocala FL 4 (Atlanta) 08/13/2019 TIWS21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0022 Policies/Procedures for Sheltering in Place Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0033 Methods for Sharing Information Standard
K0351 Sprinkler System - Installation Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001255 Gulfshore Endoscopy Center Inc 1084 Goodlette Rd Naples FL 4 (Atlanta) 12/19/2019 Q0OJ11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001255 Gulfshore Endoscopy Center Inc 1084 Goodlette Rd Naples FL 4 (Atlanta) 12/19/2019 Q0OJ21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001257 Surgical Center Of North Florida Llc 6520 Nw 9th Blvd Gainesville FL 4 (Atlanta) 09/27/2022 N19V21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001257 Surgical Center Of North Florida Llc 6520 Nw 9th Blvd Gainesville FL 4 (Atlanta) 09/23/2022 N19V11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001257 Surgical Center Of North Florida Llc 6520 Nw 9th Blvd Gainesville FL 4 (Atlanta) 06/27/2018 K1MH11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001257 Surgical Center Of North Florida Llc 6520 Nw 9th Blvd Gainesville FL 4 (Atlanta) 06/25/2018 K1MH21 Recertification, Sample Validation
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
▼ 10C0001260 Doctors Same Day Surgery Center, Ltd 5741 Bee Ridge Rd Sarasota FL 4 (Atlanta) 05/26/2022 4EB2A-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
▼ 10C0001260 Doctors Same Day Surgery Center, Ltd 5741 Bee Ridge Rd Sarasota FL 4 (Atlanta) 05/26/2022 4EB2A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0271 Discharge from Exits Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001263 Baptist Health Surgery Center Llc 8940 N Kendall Dr Suite 201e Miami FL 4 (Atlanta) 06/07/2019 4YRP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0266 DISCHARGE - ORDER Standard