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
▼ 03C0001249 Scottsdale Endoscopy Asc, Llc 9787 North 91st Street, Suite 103 Scottsdale AZ 9 (San Francisco) 10/11/2018 P6QS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0511 Utilities - Gas and Electric Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 03C0001253 Surgery Center Of Gilbert, Llc 6003 East Baseline Road Mesa AZ 9 (San Francisco) 06/06/2022 4EC43-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 03C0001253 Surgery Center Of Gilbert, Llc 6003 East Baseline Road Mesa AZ 9 (San Francisco) 06/01/2022 4EC43-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 03C0001253 Surgery Center Of Gilbert, Llc 6003 East Baseline Road Mesa AZ 9 (San Francisco) 07/03/2019 NS2G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001253 Surgery Center Of Gilbert, Llc 6003 East Baseline Road Mesa AZ 9 (San Francisco) 07/03/2019 NS2G21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0351 Sprinkler System - Installation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 03C0001254 Desert Pain Institute 6309 East Baywood Avenue Mesa AZ 9 (San Francisco) 03/24/2021 BFZ211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
▼ 03C0001254 Desert Pain Institute 6309 East Baywood Avenue Mesa AZ 9 (San Francisco) 03/23/2021 BFZ221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0521 HVAC Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 03C0001256 Gateway Surgery Center 690 North Cofco Center Court, Suite 150 Phoenix AZ 9 (San Francisco) 05/22/2024 63014-L1 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
K0500 Building Services - Other Standard
K0700 Operating Features - Other Standard
▼ 03C0001256 Gateway Surgery Center 690 North Cofco Center Court, Suite 150 Phoenix AZ 9 (San Francisco) 05/08/2024 63014-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001256 Gateway Surgery Center 690 North Cofco Center Court, Suite 150 Phoenix AZ 9 (San Francisco) 04/03/2024 62DE1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0227 RESPECT - PROPERTY & PERSON Standard