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
▼ 10C0001460 Baptist Surgery And Endoscopy Centers, Llc 6200 Sunset Dr, Suite 200 Miami FL 4 (Atlanta) 09/25/2019 YPNI11 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
▼ 10C0001461 Interventional Therapeutics Institute Llc 5102 North Davis Hwy Pensacola FL 4 (Atlanta) 03/19/2019 S7XO11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001462 Outpatient Surgery Center Of St Augustine, Llc One Orthopaedic Place, Suite 200 Saint Augustine FL 4 (Atlanta) 09/04/2018 K9R421 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
▼ 10C0001464 Coastal Surgery Center, Llc 4147 Southpoint Dr E Jacksonville FL 4 (Atlanta) 06/06/2018 V4C911 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 10C0001466 Cape Coral Ambulatory Surgery Center, Llc 2721 Del Prado Blvd Suite 100 Cape Coral FL 4 (Atlanta) 03/22/2018 7POX11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001466 Cape Coral Ambulatory Surgery Center, Llc 2721 Del Prado Blvd Suite 100 Cape Coral FL 4 (Atlanta) 03/22/2018 7POX21 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
E0013 Development of EP Policies and Procedures Standard
E0039 EP Testing Requirements Standard
▼ 10C0001467 Physicians Of Winter Haven Llc 2400 Dundee Rd Winter Haven FL 4 (Atlanta) 01/08/2025 64DFA-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001470 Palms West Surgery Center, Ltd 12961 Palms West Dr Loxahatchee FL 4 (Atlanta) 03/11/2025 651A0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 10C0001470 Palms West Surgery Center, Ltd 12961 Palms West Dr Loxahatchee FL 4 (Atlanta) 03/02/2022 I0W321 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001470 Palms West Surgery Center, Ltd 12961 Palms West Dr Loxahatchee FL 4 (Atlanta) 02/16/2022 I0W311 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard