S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

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
03C0001413 Hayden Surgical Center Llc 10611 North Hayden Road, Suite D102 Scottsdale AZ 9 (San Francisco) 06/23/2020 1F9Y21 Initial Certification
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
03C0001415 Trusted Care East Valley Az, Llc 1114 South Higley Road, Suite 101 Mesa AZ 9 (San Francisco) 08/13/2020 MO8U21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
03C0001416 Wyatt Surgery Center, Llc 2424 North Wyatt Drive, Suite 160 Tucson AZ 9 (San Francisco) 09/20/2023 6102D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
03C0001418 East Valley Outpatient Surgery, Llc 5620 East Broadway Road, Ste 102 Mesa AZ 9 (San Francisco) 02/07/2024 61F83-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
E0039 EP Testing Requirements Standard
03C0001418 East Valley Outpatient Surgery, Llc 5620 East Broadway Road, Ste 102 Mesa AZ 9 (San Francisco) 09/15/2020 BJPD21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
03C0001419 Innovative Surgery Center 15547 North Reems Road, Building A Surprise AZ 9 (San Francisco) 09/15/2020 3UUC21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
03C0001421 Advanced Surgical Care East, Llc 5925 West Chandler Boulevard Chandler AZ 9 (San Francisco) 11/05/2020 67NP21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
03C0001422 Surgical Centers Of Arizona, Llc 2629 North Scottsdale Road, Suite 100 Scottsdale AZ 9 (San Francisco) 12/17/2020 8LDX21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0521 HVAC Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
03C0001434 Urologic Asc Phoenix, Llc 1313 East Osborn Road, Suite 170b Phoenix AZ 9 (San Francisco) 10/15/2024 64500-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
03C0001434 Urologic Asc Phoenix, Llc 1313 East Osborn Road, Suite 170b Phoenix AZ 9 (San Francisco) 10/15/2024 64500-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