S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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ASCs 2567s
Selection Criteria ▸

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
▼ 42C0001062 Surgery Center At Pelham 2755 South Highway 14 Greer SC 4 (Atlanta) 03/15/2018 YPZ011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 42C0001063 Midlands Endoscopy Center One Wellness Blvd, Suite 111 Irmo SC 4 (Atlanta) 03/10/2021 NJSY11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 42C0001063 Midlands Endoscopy Center One Wellness Blvd, Suite 111 Irmo SC 4 (Atlanta) 03/08/2018 P2XJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 42C0001064 Outpatient Surgery Center Of Hilton Head 190 Pembrorke Drive Hilton Head Island SC 4 (Atlanta) 04/06/2023 5F71E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 42C0001064 Outpatient Surgery Center Of Hilton Head 190 Pembrorke Drive Hilton Head Island SC 4 (Atlanta) 06/23/2022 4EE1F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 42C0001065 Physician's Eye Surgery Ctr. Llc 2060 Charlie Hall Blvd, Suite 301 Charleston SC 4 (Atlanta) 06/29/2022 4EEF2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 42C0001065 Physician's Eye Surgery Ctr. Llc 2060 Charlie Hall Blvd, Suite 301 Charleston SC 4 (Atlanta) 01/17/2019 89P411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 42C0001065 Physician's Eye Surgery Ctr. Llc 2060 Charlie Hall Blvd, Suite 301 Charleston SC 4 (Atlanta) 01/15/2019 89P421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 42C0001067 Elms Endoscopy Center, Llc 2671 Elms Plantation Blvd North Charleston SC 4 (Atlanta) 08/23/2023 60CE3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 42C0001067 Elms Endoscopy Center, Llc 2671 Elms Plantation Blvd North Charleston SC 4 (Atlanta) 01/07/2021 4J4421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard