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
▼ 03C0001290 Camp Lowell Surgery Center, Llc 4620 East Camp Lowell Drive Tucson AZ 9 (San Francisco) 09/10/2024 63AFC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 03C0001290 Camp Lowell Surgery Center, Llc 4620 East Camp Lowell Drive Tucson AZ 9 (San Francisco) 09/10/2024 63AFC-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
K0928 Gas Equipment ? Labeling Equipment and Cylinders Standard
▼ 03C0001291 Banner Sun City West Surgery Center 14416 West Meeker Boulevard, Suite 103 Sun City West AZ 9 (San Francisco) 09/15/2020 YQPU21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0355 Portable Fire Extinguishers Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 03C0001293 Catalina Surgery Center 7508 North La Cholla Boulevard Tucson AZ 9 (San Francisco) 03/17/2021 VCZK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0023 Policies/Procedures for Medical Documentation Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
▼ 03C0001293 Catalina Surgery Center 7508 North La Cholla Boulevard Tucson AZ 9 (San Francisco) 03/17/2021 VCZK21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0926 Gas Equipment - Qualifications and Training Standard
▼ 03C0001293 Catalina Surgery Center 7508 North La Cholla Boulevard Tucson AZ 9 (San Francisco) 01/16/2018 1HR611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0018 Procedures for Tracking of Staff and Patients Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0105 EMERGENCY EQUIPMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 03C0001293 Catalina Surgery Center 7508 North La Cholla Boulevard Tucson AZ 9 (San Francisco) 01/16/2018 1HR621 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 03C0001294 Center For Pain Management, Llc 4745 East Camp Lowell Drive Tucson AZ 9 (San Francisco) 03/12/2021 Z63921 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
▼ 03C0001295 North Valley Endoscopy Center 15255 North 40th Street, Building 8, Suite 157 Phoenix AZ 9 (San Francisco) 03/29/2021 C3UV21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 03C0001296 Mcdowell Ambulatory Surgery Center, Llc 1301 East Mcdowell Road, Suite 100 Phoenix AZ 9 (San Francisco) 01/26/2022 BOSY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard