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
▼ 10C0001326 Laser & Surgery Center, The 2500 Martin Luther King Jr Blvd Panama City FL 4 (Atlanta) 04/26/2018 OS8I21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0781 Portable Space Heaters Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
▼ 10C0001328 Sanctuary Surgical Centre, Inc 5503 N Federal Hwy Boca Raton FL 4 (Atlanta) 08/25/2023 60B01-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
K0223 Doors with Self-Closing Devices Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 10C0001328 Sanctuary Surgical Centre, Inc 5503 N Federal Hwy Boca Raton FL 4 (Atlanta) 08/24/2023 60B01-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001328 Sanctuary Surgical Centre, Inc 5503 N Federal Hwy Boca Raton FL 4 (Atlanta) 08/22/2018 HOKF21 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
K0912 Electrical Systems - Receptacles Standard
▼ 10C0001328 Sanctuary Surgical Centre, Inc 5503 N Federal Hwy Boca Raton FL 4 (Atlanta) 08/15/2018 HOKF11 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
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
▼ 10C0001331 Weston Outpatient Surgical Center 2229 N Commerce Pkwy Weston FL 4 (Atlanta) 08/16/2022 4F05E-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
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001331 Weston Outpatient Surgical Center 2229 N Commerce Pkwy Weston FL 4 (Atlanta) 03/27/2018 B6RV11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0219 PATIENT RIGHTS Condition
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0226 GRIEVANCES - MISTREATMENT, ABUSE Standard
Q0232 SAFETY Standard
Q0233 SAFETY - ABUSE/HARASSMENT Standard
▼ 10C0001332 Doctors Outpatient Surgery Center Of Jupiter, Llc 3602 Kyoto Gardens Drive Palm Beach Gardens FL 4 (Atlanta) 06/26/2025 66697-L1 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
E0031 Emergency Officials Contact Information Standard
K0324 Cooking Facilities Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 10C0001332 Doctors Outpatient Surgery Center Of Jupiter, Llc 3602 Kyoto Gardens Drive Palm Beach Gardens FL 4 (Atlanta) 06/25/2025 66697-H1 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
▼ 10C0001332 Doctors Outpatient Surgery Center Of Jupiter, Llc 3602 Kyoto Gardens Drive Palm Beach Gardens FL 4 (Atlanta) 07/15/2021 DM6821 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0018 Procedures for Tracking of Staff and Patients Standard
E0034 Information on Occupancy/Needs Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard