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
11C0001397 Women's Center For Advanced Surgery, Inc 1948 Old Ocilla Road Tifton GA 4 (Atlanta) 08/22/2024 63EA0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0122 REAPPRAISALS Standard
Q0241 SANITARY ENVIRONMENT Standard
11C0001399 Rome Orthopaedic Clinic Asc, Inc. 100 Three Rivers Drive, Ne Rome GA 4 (Atlanta) 06/06/2018 Y5TJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0321 Hazardous Areas - Enclosure Standard
11C0001405 Panola Endoscopy Center, Llc 5403 Hillandale Park Court, Suite A Lithonia GA 4 (Atlanta) 01/14/2020 5AFH21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
11C0001406 Urology Specialists Surgery Center, Llc 5400 Bowman Road Macon GA 4 (Atlanta) 05/28/2019 A70H21 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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
11C0001411 Center For Spine Intervention Asc1 4586 Timber Ridge Drive Ste 141 Douglasville GA 4 (Atlanta) 11/13/2018 JCQU21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0371 Subdivision of Building Spaces ? Smoke Compartments Standard
K0511 Utilities - Gas and Electric Standard
11C0001414 Hemlock Ambulatory Surgery Center, Llc 101 Preston Court Macon GA 4 (Atlanta) 04/05/2021 1JSY21 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
11C0001421 Ahs Surgery Center Canton 201 Kimberly Way, Suite 100 Canton GA 4 (Atlanta) 04/07/2021 I5YP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0223 Doors with Self-Closing Devices Standard
K0353 Sprinkler System - Maintenance and Testing Standard
11C0001427 Surgicare Gwinnett 367 Athens Highway Loganville GA 4 (Atlanta) 06/07/2018 HNBH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0219 PATIENT RIGHTS Condition
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0221 NOTICE OF RIGHTS Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
11C0001430 Center For Pain And Spine, Llc 2401 Newnan Crossing Blvd, Suite 130 Newnan GA 4 (Atlanta) 06/06/2018 MZ0M11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
11C0001430 Center For Pain And Spine, Llc 2401 Newnan Crossing Blvd, Suite 130 Newnan GA 4 (Atlanta) 06/05/2018 MZ0M21 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