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
▼ 42C0001078 The Southeastern Spine Institute Ambulatory Surgery Center, Llc 1625 Hospital Drive Suite 110 Mount Pleasant SC 4 (Atlanta) 06/14/2023 6008A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 42C0001078 The Southeastern Spine Institute Ambulatory Surgery Center, Llc 1625 Hospital Drive Suite 110 Mount Pleasant SC 4 (Atlanta) 02/26/2020 4NN011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
Q0041 CONTRACT SERVICES Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 42C0001079 Greenville Surgery Center, Lp 5 Memorial Medical Court Greenville SC 4 (Atlanta) 08/03/2022 4F1DC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 42C0001079 Greenville Surgery Center, Lp 5 Memorial Medical Court Greenville SC 4 (Atlanta) 07/31/2019 EB7O21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 42C0001079 Greenville Surgery Center, Lp 5 Memorial Medical Court Greenville SC 4 (Atlanta) 07/25/2019 EB7O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
▼ 42C0001080 York County Endoscopy Center, Llc 164 Glenwood Drive Rock Hill SC 4 (Atlanta) 12/28/2023 6133B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 42C0001080 York County Endoscopy Center, Llc 164 Glenwood Drive Rock Hill SC 4 (Atlanta) 03/17/2021 5NKD11 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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0037 EP Training Program Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 42C0001080 York County Endoscopy Center, Llc 164 Glenwood Drive Rock Hill SC 4 (Atlanta) 03/21/2018 75P611 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
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 42C0001080 York County Endoscopy Center, Llc 164 Glenwood Drive Rock Hill SC 4 (Atlanta) 03/20/2018 75P621 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 42C0001081 Palmetto Endoscopy Suite, Llc 1520 Taylor Street Columbia SC 4 (Atlanta) 07/28/2022 4F1BB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0002 DEFINITIONS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard