S&C QCOR ASC 2567s
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ASCs 2567s
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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
▼ 11C0001089 Aesthetic Laser & Surgery Facility 416 Gordon Ave. Thomasville GA 4 (Atlanta) 04/10/2019 KJSI21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
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
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
K0211 Means of Egress - General Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
▼ 11C0001090 Augusta Plastic Surgery Center,Inc. 569 Furys Ferry Road Martinez GA 4 (Atlanta) 01/29/2019 O8Q621 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0511 Utilities - Gas and Electric Standard
K0741 Smoking Regulations Standard
K0781 Portable Space Heaters Standard
▼ 11C0001093 Plastic Surgery Center Land, Llc, The 5361 Reynolds Street Savannah GA 4 (Atlanta) 02/15/2024 61FD2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 11C0001093 Plastic Surgery Center Land, Llc, The 5361 Reynolds Street Savannah GA 4 (Atlanta) 02/12/2024 61FD2-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 11C0001095 Southwell Ambulatory, Inc 3790 Old Hwy 41 N Suite C Valdosta GA 4 (Atlanta) 03/07/2018 6S1I11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0219 PATIENT RIGHTS Condition
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0102 SEPARATION Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0220 NOTICE - POSTING Standard
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 11C0001095 Southwell Ambulatory, Inc 3790 Old Hwy 41 N Suite C Valdosta GA 4 (Atlanta) 03/05/2018 6S1I21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0223 Doors with Self-Closing Devices Standard
K0271 Discharge from Exits Standard
K0281 Illumination of Means of Egress Standard
K0311 Vertical Openings - Enclosure Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0511 Utilities - Gas and Electric Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 11C0001123 Enti Surgery Center 1595 E Hwy 34 Newnan GA 4 (Atlanta) 06/07/2018 BPRJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0106 EMERGENCY PERSONNEL Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001123 Enti Surgery Center 1595 E Hwy 34 Newnan GA 4 (Atlanta) 06/05/2018 BPRJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 11C0001126 Georgia Ambulatory Surgery Center, Llc 2220 Wisteria Drive Suite 100 Snellville GA 4 (Atlanta) 01/17/2019 8U7111 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 11C0001126 Georgia Ambulatory Surgery Center, Llc 2220 Wisteria Drive Suite 100 Snellville GA 4 (Atlanta) 01/16/2019 8U7121 Recertification
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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard