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
▼ 34C0001138 Carolinas Physicians Network, Inc, 1001 Blythe Blvd Suite 400 Charlotte NC 4 (Atlanta) 07/26/2018 7XH211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
▼ 34C0001140 Presbyterian Endoscopy Center At Hunterville, Llc 16525 Hollycrest Lane, Suite 200 Huntersville NC 4 (Atlanta) 02/12/2019 RTZ221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0281 Illumination of Means of Egress Standard
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0511 Utilities - Gas and Electric Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 34C0001141 Western Carolina Digestive Consultants, Pa 2730 Georgia Road Franklin NC 4 (Atlanta) 03/22/2018 FMTI21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0341 Fire Alarm System - Installation Standard
▼ 34C0001141 Western Carolina Digestive Consultants, Pa 2730 Georgia Road Franklin NC 4 (Atlanta) 03/15/2018 FMTI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 34C0001144 Viewmont Surgery Center, Llc 50 13th Avenue, Ne Hickory NC 4 (Atlanta) 08/03/2018 SFRT21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0321 Hazardous Areas - Enclosure Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
▼ 34C0001144 Viewmont Surgery Center, Llc 50 13th Avenue, Ne Hickory NC 4 (Atlanta) 07/26/2018 SFRT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 34C0001145 The Raleigh Nc Endoscopy Asc, Llc 1505 Sw Cary Parkway, Suite 202 Cary NC 4 (Atlanta) 08/29/2019 I28D11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 34C0001145 The Raleigh Nc Endoscopy Asc, Llc 1505 Sw Cary Parkway, Suite 202 Cary NC 4 (Atlanta) 08/27/2019 I28D21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
▼ 34C0001148 Charlotte Gastroenterology & Hepatology, Pllc 2015 Randolph Road, Suite 101 Charlotte NC 4 (Atlanta) 02/25/2020 S0PP21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0521 HVAC Standard
▼ 34C0001149 Charlotte Gastroenterology & Hepatology, Pllc 11430 Red Rust Ln., Ste. 101 Charlotte NC 4 (Atlanta) 07/30/2019 I9XM21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard