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
▼ 11C0001242 Renaissance Surgical Centre, Llc 4030 Riverside Park Boulevard Macon GA 4 (Atlanta) 02/23/2023 5E2F5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
▼ 11C0001244 Coosa Procedure Center, Llc 18 Riverbend Drive, Suite 120 Rome GA 4 (Atlanta) 12/05/2018 0C7Z11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001246 Coffee County Center For Digestive Disease 300 Shirley Avenue Douglas GA 4 (Atlanta) 09/28/2023 5DF38-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
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 11C0001247 Hand & Upper Extremity Surg Ctr Of Ga, Llc (The) 993d Johnson Ferry Road, Suite 200 Atlanta GA 4 (Atlanta) 05/22/2018 7NMC11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0266 DISCHARGE - ORDER Standard
▼ 11C0001249 Brunswick Pain Treatment Center, Llc 1111 Glynco Parkway, Suite 300 Brunswick GA 4 (Atlanta) 08/01/2019 B0D221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 11C0001250 Center For Spine Procedures, Llc 335 Roselane Street, Suite 100 Marietta GA 4 (Atlanta) 04/29/2019 DPEE21 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
K0781 Portable Space Heaters Standard
▼ 11C0001253 Ent Surgery Center Of Augusta, Llc 340 N Belair Road Evans GA 4 (Atlanta) 03/06/2019 JR5W11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 11C0001253 Ent Surgery Center Of Augusta, Llc 340 N Belair Road Evans GA 4 (Atlanta) 03/05/2019 JR5W21 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
E0031 Emergency Officials Contact Information Standard
K0223 Doors with Self-Closing Devices Standard
K0341 Fire Alarm System - Installation Standard
K0342 Fire Alarm System - Initiation 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
K0781 Portable Space Heaters Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 11C0001256 Roswell Ctr For Foot And Ankle Surgery, Llc 1357 Hembree Road, Suite 100 Roswell GA 4 (Atlanta) 12/04/2019 ML2V21 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
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0511 Utilities - Gas and Electric Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 11C0001257 Optimum Spine Center, Llc 5555 Peachtree Dunwoody Road, Suite G99 Atlanta GA 4 (Atlanta) 03/06/2019 FK1M11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard