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
▼ 38C0001076 Samaritan Endoscopy Center, Llc 3509 Nw Samaritan Drive, Suite 201 Corvallis OR 10 (Seattle) 03/28/2018 34JX21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 38C0001077 Cedar Hills Ambulatory Surgery Center, Llc 10305 Sw Park Way, Suite 101 Portland OR 10 (Seattle) 03/03/2025 65671-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0013 Development of EP Policies and Procedures Standard
K0323 Anesthetizing Locations Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 38C0001077 Cedar Hills Ambulatory Surgery Center, Llc 10305 Sw Park Way, Suite 101 Portland OR 10 (Seattle) 02/21/2025 65671-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 38C0001077 Cedar Hills Ambulatory Surgery Center, Llc 10305 Sw Park Way, Suite 101 Portland OR 10 (Seattle) 02/21/2020 LCYR21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0163 Interior Nonbearing Wall Construction Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 38C0001077 Cedar Hills Ambulatory Surgery Center, Llc 10305 Sw Park Way, Suite 101 Portland OR 10 (Seattle) 02/14/2020 LCYR11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0203 RADIOLOGIC SERVICES Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 38C0001081 The Corvallis Clinic, P.C. 601 Nw Elks Drive Corvallis OR 10 (Seattle) 10/29/2024 647AB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 38C0001081 The Corvallis Clinic, P.C. 601 Nw Elks Drive Corvallis OR 10 (Seattle) 10/17/2024 647AB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 38C0001081 The Corvallis Clinic, P.C. 601 Nw Elks Drive Corvallis OR 10 (Seattle) 07/31/2019 FIH211 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 38C0001081 The Corvallis Clinic, P.C. 601 Nw Elks Drive Corvallis OR 10 (Seattle) 07/30/2019 FIH221 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0323 Anesthetizing Locations Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 38C0001082 Chase Gardens Surgery Center, Llc 360 S Garden Way, Suite 100 Eugene OR 10 (Seattle) 03/13/2024 623EC-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
K0323 Anesthetizing Locations Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard