S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
11C0001052 Doctors Hospital Surgery Center, L.P. 635 Ronald Regan Drive Evans GA 4 (Atlanta) 04/03/2019 K1VB11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
11C0001052 Doctors Hospital Surgery Center, L.P. 635 Ronald Regan Drive Evans GA 4 (Atlanta) 04/01/2019 K1VB21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
K0291 Emergency Lighting Standard
K0311 Vertical Openings - Enclosure Standard
K0341 Fire Alarm System - Installation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0781 Portable Space Heaters Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
11C0001073 Midtown Urology, P.C. 1924 Piedmont Road, Ne Atlanta GA 4 (Atlanta) 01/02/2025 6431F-L1 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
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0712 Fire Drills Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
11C0001073 Midtown Urology, P.C. 1924 Piedmont Road, Ne Atlanta GA 4 (Atlanta) 10/28/2024 6431F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
11C0001077 Atlanta Endoscopy Center,Ltd 2665 North Decatur Rd, Suite #545 Decatur GA 4 (Atlanta) 07/22/2019 LHCL21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
11C0001079 Columbus Endoscopy Center, Llc 1130 Talbotton Road Columbus GA 4 (Atlanta) 10/19/2023 6111A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
11C0001079 Columbus Endoscopy Center, Llc 1130 Talbotton Road Columbus GA 4 (Atlanta) 10/23/2018 6V0021 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
K0131 Multiple Occupancies Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
11C0001083 Northside Foot & Ankle Op Surgical Center 466 Green Street Gainesville GA 4 (Atlanta) 03/15/2018 F5XF21 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
11C0001085 Northwest Georgia Orthopaedic Surgery Center, Llc 2550 Windy Hill Road, Suite 218 Marietta GA 4 (Atlanta) 10/24/2018 PMF821 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0511 Utilities - Gas and Electric Standard
11C0001089 Aesthetic Laser & Surgery Facility 416 Gordon Ave. Thomasville GA 4 (Atlanta) 04/10/2019 KJSI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard