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
▼ 10C0001404 Surgery & Endoscopy Center, The 3201 Physicians Way Sebring FL 4 (Atlanta) 07/12/2022 4EEC3-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
K0521 HVAC Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 10C0001405 Largo Endoscopy Center Lp 7300 Bryan Dairy Rd, Ste 495 Largo FL 4 (Atlanta) 07/21/2022 4F135-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001405 Largo Endoscopy Center Lp 7300 Bryan Dairy Rd, Ste 495 Largo FL 4 (Atlanta) 07/21/2022 4F135-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
K0741 Smoking Regulations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001411 Tallahassee Outpatient Surgery Center At Capital Medical Commons 2535 Capital Medical Blvd, Ste 300 Tallahassee FL 4 (Atlanta) 01/04/2018 KKRN21 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
K0521 HVAC Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 10C0001413 Wiregrass Ranch Asc Holdings Llc 14547 Bruce B Downs Blvd Tampa FL 4 (Atlanta) 02/27/2024 61E6B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0521 HVAC Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 10C0001413 Wiregrass Ranch Asc Holdings Llc 14547 Bruce B Downs Blvd Tampa FL 4 (Atlanta) 03/13/2018 MCOF11 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
▼ 10C0001415 Bayside Ambulatory Center, Llc 3641 S Miami Ave Miami FL 4 (Atlanta) 06/25/2024 62C03-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001415 Bayside Ambulatory Center, Llc 3641 S Miami Ave Miami FL 4 (Atlanta) 06/25/2024 62C03-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
K0700 Operating Features - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001415 Bayside Ambulatory Center, Llc 3641 S Miami Ave Miami FL 4 (Atlanta) 03/06/2019 GR0711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001416 Eye Surgery Center Of St. Augustine, Inc. 1400 Us Highway 1 South Saint Augustine FL 4 (Atlanta) 09/24/2020 982411 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard