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
▼ 11C0001273 Dca Diagnostics, Llc 880 Crestmark Drive, Suite 102 Lithia Springs GA 4 (Atlanta) 03/05/2025 656A3-L1 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
▼ 11C0001275 Eye Surgery Center Of Albany, Llc 2308 Palmyra Road Albany GA 4 (Atlanta) 03/01/2018 6C2711 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001275 Eye Surgery Center Of Albany, Llc 2308 Palmyra Road Albany GA 4 (Atlanta) 02/26/2018 6C2721 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
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
▼ 11C0001276 Northeast Endoscopy Center, Llc 721 Wellness Way, Suite 110 Lawrenceville GA 4 (Atlanta) 01/24/2018 PK5E21 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
▼ 11C0001278 Advanced Surgery Center Perimeter, Llc 1100 Johnson Ferry Road, Ne Suite 300 Atlanta GA 4 (Atlanta) 10/10/2018 DWUF21 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
K0781 Portable Space Heaters Standard
▼ 11C0001283 Center For Spine & Pain Medicine, P.C. 1413 Chattanooga Avenue Dalton GA 4 (Atlanta) 01/31/2019 TH7811 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0102 SEPARATION Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 11C0001283 Center For Spine & Pain Medicine, P.C. 1413 Chattanooga Avenue Dalton GA 4 (Atlanta) 01/28/2019 TH7821 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0711 Evacuation and Relocation Plan Standard
▼ 11C0001286 Athens Orthopedic Clinic Ambulatory Surgery Center, Llc 1765 Old West Broad St, Bldg One, Suite 300 Athens GA 4 (Atlanta) 02/29/2024 62483-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 11C0001286 Athens Orthopedic Clinic Ambulatory Surgery Center, Llc 1765 Old West Broad St, Bldg One, Suite 300 Athens GA 4 (Atlanta) 02/16/2024 62483-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
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 11C0001286 Athens Orthopedic Clinic Ambulatory Surgery Center, Llc 1765 Old West Broad St, Bldg One, Suite 300 Athens GA 4 (Atlanta) 01/16/2018 1HZ521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
K0511 Utilities - Gas and Electric Standard