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
▼ 11C0001331 Northeast Georgia Urological Surgery Center, Llc 660 Lanier Park Drive Ste H Gainesville GA 4 (Atlanta) 02/08/2024 61FD3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0240 INFECTION CONTROL Condition
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0244 INFECTION CONTROL PROGRAM - QAPI Standard
▼ 11C0001331 Northeast Georgia Urological Surgery Center, Llc 660 Lanier Park Drive Ste H Gainesville GA 4 (Atlanta) 02/06/2024 61FD3-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
▼ 11C0001333 Gainesville Pain Surgery Center, Llc 1250 Jesse Jewell Parkway, Suite 100 Gainesville GA 4 (Atlanta) 06/05/2018 57TI21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
▼ 11C0001334 Georgia Pain Spine Center, Llc 400 Tower Road, Ne, Suite 375 Marietta GA 4 (Atlanta) 04/02/2019 PQ2J11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 11C0001334 Georgia Pain Spine Center, Llc 400 Tower Road, Ne, Suite 375 Marietta GA 4 (Atlanta) 04/01/2019 PQ2J21 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
▼ 11C0001336 Eye Surgery Center Of Georgia, Llc 1100 Johnson Ferry Road, Ne, Suite 130 Atlanta GA 4 (Atlanta) 05/02/2018 M8SI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001338 Pain Care Center Of Georgia, Llc 1365 Rock Quarry Road, Suite 301 Stockbridge GA 4 (Atlanta) 08/23/2018 8U7B11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 11C0001341 Northwest Endoscopy Center, Llc 488 Kennesaw Avenue, Nw, Suite 100 Marietta GA 4 (Atlanta) 02/28/2019 EG7R21 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
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
▼ 11C0001345 Georgia Eye Surigcenter, Llc 4720 Waters Avenue, Suite 300 Savannah GA 4 (Atlanta) 08/06/2025 629F4-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
K0371 Subdivision of Building Spaces ? Smoke Compartments Standard
▼ 11C0001346 Ga Urology, P.A. Gwinnett Ambulatory Surgery Center 850 Lawrenceville Suwanee Road Ste 100 Lawrenceville GA 4 (Atlanta) 01/15/2019 CMEJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard