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
▼ 10C0001524 Treasure Coast Surgical Center Inc 1811 South 25th Street Fort Pierce FL 4 (Atlanta) 04/24/2018 KBJ211 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
▼ 10C0001525 Tgh Surgery Center At Mosani Llc 13330 Usf Laurel Dr, Mdh 2nd Floor Tampa FL 4 (Atlanta) 04/27/2018 YV4W11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 10C0001525 Tgh Surgery Center At Mosani Llc 13330 Usf Laurel Dr, Mdh 2nd Floor Tampa FL 4 (Atlanta) 04/27/2018 YV4W21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 10C0001528 Coral Ridge Outpatient Center, Llc 5301 N Dixie Highway, Ste 100 Oakland Park FL 4 (Atlanta) 01/27/2026 1E0376-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 10C0001529 Musculoskelatal Ambulatory Surgery Center Inc 1917 Worth Ct Bradenton FL 4 (Atlanta) 02/06/2018 RAXP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0261 ADMISSION ASSESSMENT Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard
▼ 10C0001529 Musculoskelatal Ambulatory Surgery Center Inc 1917 Worth Ct Bradenton FL 4 (Atlanta) 02/06/2018 RAXP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 10C0001531 Carillon Surgery Center 900 Carillon Pkwy, Ste 205 Saint Petersburg FL 4 (Atlanta) 04/24/2018 FI7V11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 10C0001531 Carillon Surgery Center 900 Carillon Pkwy, Ste 205 Saint Petersburg FL 4 (Atlanta) 04/23/2018 FI7V21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 10C0001532 Sarasota Physicians Surgical Center Llc 3201 S Tamiami Trl Sarasota FL 4 (Atlanta) 04/12/2018 L69B21 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
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0029 Development of Communication Plan Standard
E0039 EP Testing Requirements Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 10C0001532 Sarasota Physicians Surgical Center Llc 3201 S Tamiami Trl Sarasota FL 4 (Atlanta) 04/10/2018 L69B11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard