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
▼ 11C0001447 Ga Urology Asc Roswell 11835 Alpharetta Hwy, Suite 100 Roswell GA 4 (Atlanta) 02/08/2022 932P21 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
▼ 11C0001450 Pain Consultants At Piedmont,Llc 1050 Eagles Landing Parkway Suite 300 Stockbridge GA 4 (Atlanta) 08/21/2019 B53H11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0160 MEDICAL RECORDS Condition
Q0122 REAPPRAISALS Standard
▼ 11C0001451 Southern Surgery Center, Llc 605 North Westover Boulevard Albany GA 4 (Atlanta) 01/07/2020 CXR021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0009 Local, State, Tribal Collaboration Process Standard
K0712 Fire Drills Standard
▼ 11C0001457 Athens Digestive Endoscopy Center 1360 Caduceus Way, Building 300 Watkinsville GA 4 (Atlanta) 01/28/2020 0NNB21 Recertification, Sample Validation
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
▼ 11C0001476 Surgery Center At Cypress Pointe, Llc 39 Kent Road Suite 7 Tifton GA 4 (Atlanta) 01/03/2025 63EA3-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
▼ 11C0001476 Surgery Center At Cypress Pointe, Llc 39 Kent Road Suite 7 Tifton GA 4 (Atlanta) 08/29/2024 63EA3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 11C0001492 Ear, Nose & Throat/Facial Plastics & Sleep Disorder Asc, Llc 601 Pryor Street Sw Atlanta GA 4 (Atlanta) 12/03/2018 H8O211 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 11C0001492 Ear, Nose & Throat/Facial Plastics & Sleep Disorder Asc, Llc 601 Pryor Street Sw Atlanta GA 4 (Atlanta) 12/03/2018 H8O221 Initial Certification
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
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 11C0001493 Cobblestone Surgery Center, Inc 3450 Acworth Due West Road, Bldg 200 Kennesaw GA 4 (Atlanta) 06/13/2024 631DB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0041 CONTRACT SERVICES Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 11C0001502 Atlanta Spine Surgery Center, Llc 60 Peachtree Park Drive, Suite 200 Atlanta GA 4 (Atlanta) 01/13/2026 1E078B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0203 RADIOLOGIC SERVICES Standard