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
▼ 34C0001010 Eye Surgery & Laser Clinic 500 Lake Concord Rd Ne Concord NC 4 (Atlanta) 03/14/2018 8Z6S11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0233 SAFETY - ABUSE/HARASSMENT Standard
▼ 34C0001016 Health South Surg Cent Charlot 2825 Randolph Rd Charlotte NC 4 (Atlanta) 10/29/2019 6JNL11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0181 ADMINISTRATION OF DRUGS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 34C0001017 Healthsouth Blue Ridge Surgery Center 2308 Wesvill Court Raleigh NC 4 (Atlanta) 02/02/2018 S4X111 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0060 SURGICAL SERVICES Condition
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
▼ 34C0001027 Surgery Ctr Of Morganton Eye Physicians, Pa 335 E Parker Road Morganton NC 4 (Atlanta) 03/16/2018 VPYG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0261 ADMISSION ASSESSMENT Standard
▼ 34C0001029 Wilmington Asc, Llc 1305 Glen Meade Rd Wilmington NC 4 (Atlanta) 07/18/2019 Y8KJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
▼ 34C0001029 Wilmington Asc, Llc 1305 Glen Meade Rd Wilmington NC 4 (Atlanta) 06/27/2019 Y8KJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 34C0001033 The Eye Surgery Center Of Shelby 1622 East Marion Street Shelby NC 4 (Atlanta) 05/01/2018 UBWY21 Recertification
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
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 34C0001035 Greensboro Center For Digestive Diseases 520 North Elam Ave. Greensboro NC 4 (Atlanta) 05/01/2018 T6YY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 34C0001039 Raleigh Nc Endoscopy Asc Llc 4225 Macon Pond Rd., Ste. 100 Raleigh NC 4 (Atlanta) 09/25/2019 C86P21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 34C0001041 Hlthsouth Greensboro Specialty Surgical Center 3812 N. Elm St. Greensboro NC 4 (Atlanta) 01/07/2020 KV9N21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard