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
▼ 11C0001199 Macon Pain Center, P.C 3356 Vineville Avenue Macon GA 4 (Atlanta) 03/29/2018 PITZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
▼ 11C0001199 Macon Pain Center, P.C 3356 Vineville Avenue Macon GA 4 (Atlanta) 03/28/2018 PITZ21 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
K0291 Emergency Lighting Standard
▼ 11C0001200 Endoscopy Center Of Coastal Ga, Llc 519 Stephenson Avenue Savannah GA 4 (Atlanta) 01/27/2020 EUCN21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 11C0001201 Women's Surgery Center, The 1523 Fair Road, Po Box 1958 Statesboro GA 4 (Atlanta) 11/18/2025 1DB81F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
▼ 11C0001204 Day Surgery And Recovery Center 1506 Professional Court Dalton GA 4 (Atlanta) 07/24/2018 EIPR21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0781 Portable Space Heaters Standard
▼ 11C0001205 Hamilton Ambulatory Surgery Center, Inc. 1250 Broadrick Drive Dalton GA 4 (Atlanta) 09/25/2024 6403C-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
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 11C0001205 Hamilton Ambulatory Surgery Center, Inc. 1250 Broadrick Drive Dalton GA 4 (Atlanta) 06/06/2019 LUJV11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
▼ 11C0001205 Hamilton Ambulatory Surgery Center, Inc. 1250 Broadrick Drive Dalton GA 4 (Atlanta) 06/05/2019 LUJV21 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
K0341 Fire Alarm System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 11C0001209 Woodhams Laser & Lens Implant Center, Llc 6105 Peachtree Dunnwoody Road, Bldg A Suite 100 Atlanta GA 4 (Atlanta) 04/03/2019 ZM6511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0110 EMERGENCY PERSONNEL Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 11C0001214 Midtown Endoscopy Center, Llc 550 Peachtree Street, Suite 1660 Atlanta GA 4 (Atlanta) 11/29/2023 61787-L1 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
K0511 Utilities - Gas and Electric Standard
K0781 Portable Space Heaters Standard