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
▼ 03C0001296 Mcdowell Ambulatory Surgery Center, Llc 1301 East Mcdowell Road, Suite 100 Phoenix AZ 9 (San Francisco) 01/26/2022 BOSY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0926 Gas Equipment - Qualifications and Training Standard
▼ 03C0001296 Mcdowell Ambulatory Surgery Center, Llc 1301 East Mcdowell Road, Suite 100 Phoenix AZ 9 (San Francisco) 03/28/2019 WVK421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 03C0001298 Surgical Elite Of Avondale, Llc 10815 West Mcdowell Road, Suite 101 Avondale AZ 9 (San Francisco) 03/10/2022 XKBR21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 03C0001298 Surgical Elite Of Avondale, Llc 10815 West Mcdowell Road, Suite 101 Avondale AZ 9 (San Francisco) 03/18/2019 ROV811 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
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 03C0001298 Surgical Elite Of Avondale, Llc 10815 West Mcdowell Road, Suite 101 Avondale AZ 9 (San Francisco) 03/18/2019 ROV821 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 03C0001299 Orthopedic Surgery Center Of Arizona, The 2262 East Rose Garden Lane Phoenix AZ 9 (San Francisco) 07/11/2022 4EFA0-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
K0291 Emergency Lighting Standard
K0346 Fire Alarm System - Out of Service Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 03C0001300 Surgery Center At River Road 2490 East River Road, Suite 150 Tucson AZ 9 (San Francisco) 03/02/2022 5W7011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
▼ 03C0001300 Surgery Center At River Road 2490 East River Road, Suite 150 Tucson AZ 9 (San Francisco) 03/02/2022 5W7021 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 03C0001301 Kokopelli Eye Care 412 Whipple Street Prescott AZ 9 (San Francisco) 08/15/2018 PA6311 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
E0022 Policies/Procedures for Sheltering in Place Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 03C0001301 Kokopelli Eye Care 412 Whipple Street Prescott AZ 9 (San Francisco) 08/15/2018 PA6321 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard