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
11C0001257 Optimum Spine Center, Llc 5555 Peachtree Dunwoody Road, Suite G99 Atlanta GA 4 (Atlanta) 03/05/2019 FK1M21 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
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0511 Utilities - Gas and Electric Standard
11C0001258 Thomas Eye Surgery Center, Llc 5995 Barfield Road Sandy Springs GA 4 (Atlanta) 03/07/2019 NDZ511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
11C0001260 Marietta Eye Clinic, P.A. 895 Canton Road, Bldg 200, Suite 300 Marietta GA 4 (Atlanta) 04/08/2019 MU0Z21 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
11C0001261 Specialty Orthopaedics Surgery Center, Llc 1240 Jesse Jewell Parkway, Suite 360 Gainesville GA 4 (Atlanta) 01/15/2019 QZV521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
11C0001263 Georgia Pain Spine Center, Llc 15 Medical Drive, Suite 302 Cartersville GA 4 (Atlanta) 02/14/2019 FF4G11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
11C0001263 Georgia Pain Spine Center, Llc 15 Medical Drive, Suite 302 Cartersville GA 4 (Atlanta) 02/11/2019 FF4G21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
11C0001266 Dublin Eye Surgery Center, Llc 2400 Bellevue Road, 17 Erin Office Park Dublin GA 4 (Atlanta) 02/04/2020 RH4021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0341 Fire Alarm System - Installation Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
11C0001269 Hudes Endoscopy Center, Llc 4275 Johns Creek Parkway, Building E, Suite A Suwanee GA 4 (Atlanta) 01/31/2018 9B3T21 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
K0281 Illumination of Means of Egress Standard
K0291 Emergency Lighting Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
11C0001270 Meredyth Surgery Center, P.C. 2709 Meredyth Drive, Suite 210 Albany GA 4 (Atlanta) 04/24/2019 PZJT11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0224 ADVANCED DIRECTIVES Standard
11C0001270 Meredyth Surgery Center, P.C. 2709 Meredyth Drive, Suite 210 Albany GA 4 (Atlanta) 04/23/2019 PZJT21 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