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
▼ 34C0001041 Hlthsouth Greensboro Specialty Surgical Center 3812 N. Elm St. Greensboro NC 4 (Atlanta) 12/19/2019 KV9N11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 34C0001041 Hlthsouth Greensboro Specialty Surgical Center 3812 N. Elm St. Greensboro NC 4 (Atlanta) 03/28/2018 B78G11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
▼ 34C0001048 The Surgical Center Of Morehead City 3714 Guardian Avenue Morehead City NC 4 (Atlanta) 06/20/2018 NMQJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0511 Utilities - Gas and Electric Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 34C0001103 Wake Forest Ambulatory Ventures, Llc 600 Lindsay St. High Point NC 4 (Atlanta) 07/25/2018 C6PM21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 34C0001103 Wake Forest Ambulatory Ventures, Llc 600 Lindsay St. High Point NC 4 (Atlanta) 07/19/2018 C6PM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 34C0001108 Waveco, Llc 1822 Brunswick Ave. Charlotte NC 4 (Atlanta) 04/13/2022 6SZE11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0228 EXERCISE OF RIGHTS - GRIEVANCES Standard
▼ 34C0001112 Southpark Surgery Center, Llc 6035 Fairview Rd Charlotte NC 4 (Atlanta) 12/09/2019 FS2121 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 34C0001113 Gateway Ambulatory Surgery Center 1025 Northeast Gateway Court, Ne Concord NC 4 (Atlanta) 07/12/2018 ZBU421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0351 Sprinkler System - Installation Standard
K0521 HVAC Standard
▼ 34C0001114 Surgery Center Of Pinehurst, Llc 10 First Village Drive Pinehurst NC 4 (Atlanta) 03/18/2021 IB9O11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 34C0001115 Fayetteville Gastroenterology Associates, Pa 2041 Valley Gate Drive, Po Box 87229 Fayetteville NC 4 (Atlanta) 05/02/2018 C6P621 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard