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
▼ 11C0001315 Neurological Institute Ambulatory Surgery Center, Llc 1 East Jackson Boulevard Savannah GA 4 (Atlanta) 01/08/2025 62676-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
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
▼ 11C0001315 Neurological Institute Ambulatory Surgery Center, Llc 1 East Jackson Boulevard Savannah GA 4 (Atlanta) 03/14/2024 62676-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
▼ 11C0001316 West Metro Endoscopy Center, Llc 8855 Hospital Drive, Suite 102 Douglasville GA 4 (Atlanta) 09/04/2025 1D5A9C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 11C0001316 West Metro Endoscopy Center, Llc 8855 Hospital Drive, Suite 102 Douglasville GA 4 (Atlanta) 01/30/2019 46FY21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 11C0001319 Physicians Rome Surgery Center, Llc, The 18 Riverbend Drive, Suite 150 Rome GA 4 (Atlanta) 01/06/2020 3UWM21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
▼ 11C0001324 The Physicians' North Atlanta Surgery Center, Llc 5730 Glenridge Drive, Suite 110 Atlanta GA 4 (Atlanta) 01/14/2020 J3BT21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 11C0001326 Friendship Surgery Center, Llc 5005 Friendship Road, Suite 200 Buford GA 4 (Atlanta) 06/06/2019 9UBJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0123 OTHER PRACTITIONERS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001326 Friendship Surgery Center, Llc 5005 Friendship Road, Suite 200 Buford GA 4 (Atlanta) 06/03/2019 9UBJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0781 Portable Space Heaters Standard
▼ 11C0001327 Renue Surgery Center, Llc 2500 Starling Street, Suite 604 Brunswick GA 4 (Atlanta) 07/09/2019 75EV21 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
E0022 Policies/Procedures for Sheltering in Place Standard
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
▼ 11C0001330 Georgia Urology, P.A. Rockdale Ambulatory Surgery Center 1301 Sigman Road, Suite 250b Conyers GA 4 (Atlanta) 01/17/2019 Z5KC11 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
Q0264 POST-SURGICAL ASSESSMENT Standard