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
▼ 03C0001362 Bdpec Asc Show Low 1610 South White Mountain Road Show Low AZ 9 (San Francisco) 08/20/2020 81I211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001363 Surgcenter Of Greater Phoenix, Llc 7231 East Princess Boulevard, Suite 100 Scottsdale AZ 9 (San Francisco) 09/03/2024 63F51-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001363 Surgcenter Of Greater Phoenix, Llc 7231 East Princess Boulevard, Suite 100 Scottsdale AZ 9 (San Francisco) 09/03/2024 63F51-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
K0291 Emergency Lighting Standard
K0355 Portable Fire Extinguishers Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0521 HVAC Standard
▼ 03C0001364 Center For Cardiovascular Research And Education, Llc 20565 North 19th Avenue, Suite 100-B Phoenix AZ 9 (San Francisco) 06/13/2018 CFNI11 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 03C0001364 Center For Cardiovascular Research And Education, Llc 20565 North 19th Avenue, Suite 100-B Phoenix AZ 9 (San Francisco) 06/13/2018 CFNI21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 03C0001366 Tomar Pain Centers Ii, Pllc 919 12th Place, Suite 12b Prescott AZ 9 (San Francisco) 07/29/2021 N56K21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 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