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
▼ 34C0001184 Triangle Orthopaedics Surgery Center, Llc 7921 Acc Blvd Raleigh NC 4 (Atlanta) 11/15/2018 IOFV21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
▼ 34C0001185 Digestive Health Specialists, Pa 280 Broad Street, Suite G Kernersville NC 4 (Atlanta) 11/07/2018 LFRC21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
▼ 34C0001189 Carolina Digestive Care Pllc 150 August St., Ste. 100 Morganton NC 4 (Atlanta) 10/21/2019 J2QF21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0222 Egress Doors Standard
K0223 Doors with Self-Closing Devices Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 34C0001189 Carolina Digestive Care Pllc 150 August St., Ste. 100 Morganton NC 4 (Atlanta) 10/17/2019 J2QF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 34C0001191 Mallard Creek Surgery Center 9848 N Tryon Street, Suite 200 Charlotte NC 4 (Atlanta) 05/16/2018 R83U11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 34C0001191 Mallard Creek Surgery Center 9848 N Tryon Street, Suite 200 Charlotte NC 4 (Atlanta) 05/15/2018 R83U21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0343 Fire Alarm System - Notification Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 34C0001192 Greater Gaston Endoscopy Center 920 Cox Road Suite 201 Gastonia NC 4 (Atlanta) 04/05/2018 EDVQ11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
Q0261 ADMISSION ASSESSMENT Standard
▼ 34C0001192 Greater Gaston Endoscopy Center 920 Cox Road Suite 201 Gastonia NC 4 (Atlanta) 04/03/2018 EDVQ21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 34C0001201 Rex Surgery Center Of Wakefield 11200 Governor Manley Way, Suite 110 Raleigh NC 4 (Atlanta) 08/16/2018 W6BS21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0351 Sprinkler System - Installation Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 34C0001203 Valleygate Dental Surgery Center 2015 Valleygate Drive Fayetteville NC 4 (Atlanta) 12/04/2018 DG4221 Initial Certification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0511 Utilities - Gas and Electric Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard