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
▼ 38C0001009 Chiniko, Llc 2700 14th Avenue Se Albany OR 10 (Seattle) 02/24/2025 6559A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0323 Anesthetizing Locations Standard
▼ 38C0001009 Chiniko, Llc 2700 14th Avenue Se Albany OR 10 (Seattle) 11/03/2020 X7UT21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 38C0001012 Gso Equipment Corporation 19250 Sw 90th Avenue Tualatin OR 10 (Seattle) 07/22/2019 5D0G21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 38C0001012 Gso Equipment Corporation 19250 Sw 90th Avenue Tualatin OR 10 (Seattle) 07/16/2019 5D0G11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 38C0001013 Westside Surgery Center, Llc 13240 Sw Pacific Highway Tigard OR 10 (Seattle) 03/09/2023 5F337-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 38C0001013 Westside Surgery Center, Llc 13240 Sw Pacific Highway Tigard OR 10 (Seattle) 03/07/2023 5F337-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 38C0001013 Westside Surgery Center, Llc 13240 Sw Pacific Highway Tigard OR 10 (Seattle) 05/29/2018 G3RK21 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
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0037 EP Training Program Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 38C0001013 Westside Surgery Center, Llc 13240 Sw Pacific Highway Tigard OR 10 (Seattle) 05/24/2018 G3RK11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 38C0001018 Precision Surgical Institute, Inc. 1353 East Mcandrews Road Medford OR 10 (Seattle) 07/26/2023 6083D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
▼ 38C0001020 Mckenzie Surgery Center, Lp 940 Country Club Road Eugene OR 10 (Seattle) 12/17/2024 64663-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0323 Anesthetizing Locations Standard