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
▼ 10C0001280 Melbourne Asc, Lp 1401 Apollo Blvd Suite B Melbourne FL 4 (Atlanta) 09/18/2019 9M8L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 10C0001284 Lakeside Surgery Ltd 1825 N Mills Ave Orlando FL 4 (Atlanta) 09/18/2024 641E1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0220 NOTICE - POSTING Standard
Q0221 NOTICE OF RIGHTS Standard
▼ 10C0001285 Filutowski Eye Institute, Pa 1070 Greenwood Blvd Lake Mary FL 4 (Atlanta) 03/12/2019 FL3Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0222 NOTICE OF RIGHTS - POSTING Standard
▼ 10C0001287 Palmetto Asc Lp, The 2140 W 68th St Suite 102 Hialeah FL 4 (Atlanta) 03/13/2025 64263-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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001287 Palmetto Asc Lp, The 2140 W 68th St Suite 102 Hialeah FL 4 (Atlanta) 02/23/2021 42R221 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 10C0001288 Novamed Surgery Center Of Orlando, Llc 801 N Orange Ave Suite 630 Orlando FL 4 (Atlanta) 06/10/2025 66373-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001288 Novamed Surgery Center Of Orlando, Llc 801 N Orange Ave Suite 630 Orlando FL 4 (Atlanta) 08/31/2021 S92Q11 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
Q0184 VERBAL ORDERS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 10C0001288 Novamed Surgery Center Of Orlando, Llc 801 N Orange Ave Suite 630 Orlando FL 4 (Atlanta) 08/30/2021 S92Q21 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
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 10C0001288 Novamed Surgery Center Of Orlando, Llc 801 N Orange Ave Suite 630 Orlando FL 4 (Atlanta) 06/03/2019 3ILI11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0228 EXERCISE OF RIGHTS - GRIEVANCES Standard
▼ 10C0001289 C-Med Ambulatory Surgery Center, Inc 2238 Drew St Clearwater FL 4 (Atlanta) 08/21/2025 654C4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0245 INFECTION CONTROL PROGRAM Standard