S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
ASCs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 10C0001572 St Luke's Surgical At The Villages 1050 Old Camp Rd, Bldg 230 The Villages FL 4 (Atlanta) 03/13/2019 771C11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 10C0001572 St Luke's Surgical At The Villages 1050 Old Camp Rd, Bldg 230 The Villages FL 4 (Atlanta) 03/11/2019 771C21 Recertification, Sample Validation
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
E0018 Procedures for Tracking of Staff and Patients Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
▼ 10C0001573 Advanced Surgery Center Of Orlando 6900 Turkey Lake Rd, Ste 2-5 Orlando FL 4 (Atlanta) 09/23/2022 4ED9F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 10C0001573 Advanced Surgery Center Of Orlando 6900 Turkey Lake Rd, Ste 2-5 Orlando FL 4 (Atlanta) 09/23/2022 4ED9F-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0521 HVAC Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 10C0001574 Cornerstone Surgicare Llc 511 Hewitt Street Pensacola FL 4 (Atlanta) 09/05/2023 60EB1-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
K0781 Portable Space Heaters Standard
▼ 10C0001576 The Outpatient Center Llc 4675 Linton Blvd Delray Beach FL 4 (Atlanta) 05/14/2026 22E300-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001576 The Outpatient Center Llc 4675 Linton Blvd Delray Beach FL 4 (Atlanta) 09/02/2021 RIL211 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
Q0241 SANITARY ENVIRONMENT Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
Q0266 DISCHARGE - ORDER Standard
▼ 10C0001579 Surgcenter Of Orange Park Llc 805 Wells Rd Orange Park FL 4 (Atlanta) 08/02/2023 60121-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
▼ 10C0001579 Surgcenter Of Orange Park Llc 805 Wells Rd Orange Park FL 4 (Atlanta) 08/02/2023 60121-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
▼ 10C0001581 Riverside Kingsley Endoscopy Surgicenter Llc 2151 Riverside Ave Jacksonville FL 4 (Atlanta) 12/15/2021 887S11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard