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
▼ 10C0001268 Riverside Surgery Center, Inc 14410 Us Highway 1 Sebastian FL 4 (Atlanta) 10/22/2018 KVVB21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0919 Electrical Equipment - Other Standard
▼ 10C0001268 Riverside Surgery Center, Inc 14410 Us Highway 1 Sebastian FL 4 (Atlanta) 10/17/2018 KVVB11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0184 VERBAL ORDERS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001271 Hernando Endoscopy & Surgery Center 12180 Cortez Blvd Brooksville FL 4 (Atlanta) 08/06/2020 RIE411 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0160 MEDICAL RECORDS Condition
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001273 Port St Lucie Surgery Center, Ltd 1310 Se West Star Ave Port Saint Lucie FL 4 (Atlanta) 03/05/2024 6262A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001273 Port St Lucie Surgery Center, Ltd 1310 Se West Star Ave Port Saint Lucie FL 4 (Atlanta) 05/29/2019 QYXD21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0030 Names and Contact Information Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 10C0001276 Lake City Surgery Center, Llc 208 Sw Prosperity Place Lake City FL 4 (Atlanta) 05/01/2025 65E27-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001277 Riverwalk Surgery Center, Inc 8350 Riverwalk Park Blvd Suite 4 Fort Myers FL 4 (Atlanta) 12/18/2019 JT1R11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001277 Riverwalk Surgery Center, Inc 8350 Riverwalk Park Blvd Suite 4 Fort Myers FL 4 (Atlanta) 12/17/2019 JT1R21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0919 Electrical Equipment - Other Standard
▼ 10C0001279 Plastic Surgery Center Of Lake County 1879 Nightingale Ln Suite A-2 Tavares FL 4 (Atlanta) 08/09/2023 60616-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
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001279 Plastic Surgery Center Of Lake County 1879 Nightingale Ln Suite A-2 Tavares FL 4 (Atlanta) 01/24/2019 5PKJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard