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
▼ 36C0001236 Perimeter Surgical Center, Inc 6620 Perimiter Drive, Suite 100b Dublin OH 5 (Chicago) 04/04/2018 MLYS21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 36C0001243 Endoscopy Center Of West Central Ohio, Llc 2793 Shawnee Road Lima OH 5 (Chicago) 11/29/2018 6PUZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0161 ORGANIZATION Standard
▼ 36C0001243 Endoscopy Center Of West Central Ohio, Llc 2793 Shawnee Road Lima OH 5 (Chicago) 11/27/2018 6PUZ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0293 Exit Signage Standard
K0344 Fire Alarm - Control Functions Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 36C0001245 Journey Lite Of Cincinnati, Llc 10475 Reading Road, Suite 115 Cincinnati OH 5 (Chicago) 03/17/2026 1F3002-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 36C0001245 Journey Lite Of Cincinnati, Llc 10475 Reading Road, Suite 115 Cincinnati OH 5 (Chicago) 05/09/2019 L3YD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
▼ 36C0001245 Journey Lite Of Cincinnati, Llc 10475 Reading Road, Suite 115 Cincinnati OH 5 (Chicago) 05/08/2019 L3YD21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 36C0001249 Digestive Health Complex, Inc 300 West Main Street Saint Clairsville OH 5 (Chicago) 11/29/2018 CIQH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0240 INFECTION CONTROL Condition
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0104 SAFETY FROM FIRE Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 36C0001249 Digestive Health Complex, Inc 300 West Main Street Saint Clairsville OH 5 (Chicago) 11/27/2018 CIQH21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0781 Portable Space Heaters Standard
K0901 Fundamentals - Building System Categories Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 36C0001250 Accomodative Surgery Center 7001 South Edgerton Road, Suite A Brecksville OH 5 (Chicago) 02/21/2019 JRX011 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0160 MEDICAL RECORDS Condition
Q0104 SAFETY FROM FIRE Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 36C0001250 Accomodative Surgery Center 7001 South Edgerton Road, Suite A Brecksville OH 5 (Chicago) 02/21/2019 JRX021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
K0712 Fire Drills Standard
K0901 Fundamentals - Building System Categories Standard
K0913 Electrical Systems - Wet Procedure Locations Standard