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
▼ 11C0001151 Eye Surgery Center Of Augusta 3658 J. Dewey Gray Circle Augusta GA 4 (Atlanta) 03/07/2018 0XFU21 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
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0511 Utilities - Gas and Electric Standard
K0781 Portable Space Heaters Standard
K0932 Features of Fire Protection - Other Standard
▼ 11C0001152 V.O.A. Ambulatory Surgery Center 3527-B North Valdosta Road Valdosta GA 4 (Atlanta) 03/13/2018 6RK721 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
▼ 11C0001153 Eye Associates Surgery Center, Inc. 3024 N. Patterson St. Valdosta GA 4 (Atlanta) 07/18/2019 Q0OZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 11C0001153 Eye Associates Surgery Center, Inc. 3024 N. Patterson St. Valdosta GA 4 (Atlanta) 07/15/2019 Q0OZ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0029 Development of Communication Plan Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
▼ 11C0001160 Savannah Partners, Llc 13040 Abercorn Street, Ste 2 Savannah GA 4 (Atlanta) 02/14/2019 5COE11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001160 Savannah Partners, Llc 13040 Abercorn Street, Ste 2 Savannah GA 4 (Atlanta) 02/14/2019 5COE21 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
K0200 Means of Egress Requirements - Other Standard
K0291 Emergency Lighting Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 11C0001164 Class A Board Of Managers, Tattnall Hospital Company, Llc 210 East Derenne Avenue Savannah GA 4 (Atlanta) 07/25/2019 D04T11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
▼ 11C0001164 Class A Board Of Managers, Tattnall Hospital Company, Llc 210 East Derenne Avenue Savannah GA 4 (Atlanta) 07/23/2019 D04T21 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
K0371 Subdivision of Building Spaces ? Smoke Compartments Standard
▼ 11C0001170 Surgery Center, Llc, The 2548 Weems Road Columbus GA 4 (Atlanta) 07/05/2023 604A3-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
▼ 11C0001170 Surgery Center, Llc, The 2548 Weems Road Columbus GA 4 (Atlanta) 05/10/2023 5F57B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0180 PHARMACEUTICAL SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard