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
▼ 03C0001459 Scottsdale Center For Robotic Surgery Pllc 9377 East Bell Rd Suite 201 Scottsdale AZ 9 (San Francisco) 04/10/2023 5F5E5-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
E0007 EP Program Patient Population Standard
E0013 Development of EP Policies and Procedures Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0926 Gas Equipment - Qualifications and Training Standard
▼ 03C0001459 Scottsdale Center For Robotic Surgery Pllc 9377 East Bell Rd Suite 201 Scottsdale AZ 9 (San Francisco) 04/05/2023 5F5E5-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
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001479 Arizona Surgical Specialists Center Llc 17500 N Perimeter Drive Scottsdale AZ 9 (San Francisco) 03/04/2024 621EF-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 03C0001479 Arizona Surgical Specialists Center Llc 17500 N Perimeter Drive Scottsdale AZ 9 (San Francisco) 02/26/2024 621EF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0109 EMERGENCY EQUIPMENT Standard
▼ 03C0001490 Laser Surgery Holding Company Ltd 1760 East Florence Blvd, Building 2 Casa Grande AZ 9 (San Francisco) 08/21/2025 1D1FB8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0065 PHYSICIAN EVALUATION OF RISK Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 03C0001490 Laser Surgery Holding Company Ltd 1760 East Florence Blvd, Building 2 Casa Grande AZ 9 (San Francisco) 08/21/2025 1D1FB8-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
K0355 Portable Fire Extinguishers Standard
K0919 Electrical Equipment - Other Standard
▼ 03C0001501 Pv Surgical Partners Llc 7125 E Lincoln Dr Suite A201 Paradise Valley AZ 9 (San Francisco) 12/09/2025 1DD765-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
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 03C0001508 Pinnacle Outpatient Surgical Institute, Llc 4812 S. Mill Ave, Suite 100 Tempe AZ 9 (San Francisco) 08/06/2026 2F7575-L1 Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0223 Doors with Self-Closing Devices Standard
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 04C0001000 Pain Center, Llc 505 East Matthews, Suite 103 Jonesboro AR 6 (Dallas) 07/28/2022 4F20A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 04C0001000 Pain Center, Llc 505 East Matthews, Suite 103 Jonesboro AR 6 (Dallas) 07/28/2022 4F20A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0223 Doors with Self-Closing Devices Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard