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
▼ 10C0001453 South Broward Endoscopy, Llc 11011 Sheridan Street, Suite 106 Cooper City FL 4 (Atlanta) 08/29/2024 63E2E-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
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0355 Portable Fire Extinguishers Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0781 Portable Space Heaters Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 10C0001453 South Broward Endoscopy, Llc 11011 Sheridan Street, Suite 106 Cooper City FL 4 (Atlanta) 08/14/2019 6E4D11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0020 COMPLIANCE WITH STATE LICENSURE LAW Condition
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001453 South Broward Endoscopy, Llc 11011 Sheridan Street, Suite 106 Cooper City FL 4 (Atlanta) 08/14/2019 6E4D21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0029 Development of Communication Plan Standard
E0034 Information on Occupancy/Needs Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001457 Tallahassee Memorial Center For Pain Mgt Llc 2824-2 Mahan Dr Tallahassee FL 4 (Atlanta) 04/16/2025 64EB4-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
▼ 10C0001457 Tallahassee Memorial Center For Pain Mgt Llc 2824-2 Mahan Dr Tallahassee FL 4 (Atlanta) 01/20/2021 8G7911 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001458 Clermont Ambulatory Surgical Center Lllp 255 Citrus Tower Blvd Clermont FL 4 (Atlanta) 02/19/2025 65154-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 10C0001458 Clermont Ambulatory Surgical Center Lllp 255 Citrus Tower Blvd Clermont FL 4 (Atlanta) 03/10/2021 Z7KP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001459 Central Florida Endoscopy & Surgical Inst Of Ocala 3256 S Pine Avenue Ocala FL 4 (Atlanta) 02/27/2025 6518A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0741 Smoking Regulations Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 10C0001459 Central Florida Endoscopy & Surgical Inst Of Ocala 3256 S Pine Avenue Ocala FL 4 (Atlanta) 09/28/2022 5JDW11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001459 Central Florida Endoscopy & Surgical Inst Of Ocala 3256 S Pine Avenue Ocala FL 4 (Atlanta) 04/18/2022 5JDW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard