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
▼ 11C0001020 Austell Surgery Center, Llc 1610 Mulkey Road Sw Austell GA 4 (Atlanta) 04/08/2019 0X2W21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
K0341 Fire Alarm System - Installation Standard
K0511 Utilities - Gas and Electric Standard
▼ 11C0001024 Ambulatory Laser & Surgery Center 425 Forest Parkway, Ste 103 Forest Park GA 4 (Atlanta) 09/11/2024 64039-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
▼ 11C0001026 Georgia Lithotripsy And Laser Center 120 Trinity Place Athens GA 4 (Atlanta) 10/18/2018 84XL21 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
▼ 11C0001027 Rome Endoscopy Center, Inc., The 11 John Maddox Drive Rome GA 4 (Atlanta) 01/03/2018 GI3721 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 11C0001028 Cobb Foot And Leg Surgical Center, Llc 165 Vann Street Marietta GA 4 (Atlanta) 11/29/2018 A5PJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 11C0001028 Cobb Foot And Leg Surgical Center, Llc 165 Vann Street Marietta GA 4 (Atlanta) 11/28/2018 A5PJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0122 REAPPRAISALS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 11C0001037 Dekalb Gastroentrology Associate Iii, Llc 2675 North Decatur Road, Suite 506 Decatur GA 4 (Atlanta) 03/08/2019 CWBG21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 11C0001037 Dekalb Gastroentrology Associate Iii, Llc 2675 North Decatur Road, Suite 506 Decatur GA 4 (Atlanta) 02/28/2019 CWBG11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0102 SEPARATION Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 11C0001038 Piedmont Surgery Center I, L.P. 4660 Riverside Park Boulevard Macon GA 4 (Atlanta) 05/15/2019 EZZN11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 11C0001042 Savannah F&A Asc, Llc 310 Eisenhower Drive, Building 7b Savannah GA 4 (Atlanta) 10/28/2019 ZEJD21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0346 Fire Alarm System - Out of Service Standard
K0351 Sprinkler System - Installation Standard
K0354 Sprinkler System - Out of Service Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard