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
▼ 03C0001366 Tomar Pain Centers Ii, Pllc 919 12th Place, Suite 12b Prescott AZ 9 (San Francisco) 08/07/2019 RBT211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 03C0001366 Tomar Pain Centers Ii, Pllc 919 12th Place, Suite 12b Prescott AZ 9 (San Francisco) 08/07/2019 RBT221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
▼ 03C0001367 Arizona Surgical Specialists Center West Phoenix 9250 West Thomas Road, Suite 220 Phoenix AZ 9 (San Francisco) 09/16/2020 348E21 Other-Fed
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 03C0001369 Honorhealth Pain Management Center 4727 East Union Hills Drive, Suite 300 Phoenix AZ 9 (San Francisco) 07/02/2024 6376B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001369 Honorhealth Pain Management Center 4727 East Union Hills Drive, Suite 300 Phoenix AZ 9 (San Francisco) 07/02/2024 6376B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS: Memo
K0130 Miscellaneous Standard
▼ 03C0001370 Laser Surgery Center - Tempe 2000 East Southern Avenue, Suites 106 Tempe AZ 9 (San Francisco) 03/21/2023 5F49F-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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 03C0001373 Endotech, Llc 8841 East Bell Road Scottsdale AZ 9 (San Francisco) 12/09/2019 V7XW11 Recertification, Sample Validation
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
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001373 Endotech, Llc 8841 East Bell Road Scottsdale AZ 9 (San Francisco) 12/09/2019 V7XW21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 03C0001375 Pima Heart Asc, Llc 1238 West Orange Grove, Suite 101 Tucson AZ 9 (San Francisco) 08/01/2024 63A51-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0065 PHYSICIAN EVALUATION OF RISK Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001375 Pima Heart Asc, Llc 1238 West Orange Grove, Suite 101 Tucson AZ 9 (San Francisco) 07/31/2024 63A51-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard