S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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ASCs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 44C0001057 Clarksville Surgicenter, L L C 121 Hillcrest Drive Clarksville TN 4 (Atlanta) 04/17/2019 GJTK21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0521 HVAC Standard
▼ 44C0001059 Ddc Surgery Center 9 Physicians Drive Jackson TN 4 (Atlanta) 08/06/2018 0JN521 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 44C0001059 Ddc Surgery Center 9 Physicians Drive Jackson TN 4 (Atlanta) 07/31/2018 0JN511 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
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 44C0001061 Wesley & Klippenstein, P.C. 1800 Church St Suite 150 Nashville TN 4 (Atlanta) 09/19/2024 643A2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0060 SURGICAL SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 44C0001061 Wesley & Klippenstein, P.C. 1800 Church St Suite 150 Nashville TN 4 (Atlanta) 09/17/2024 643A2-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 44C0001061 Wesley & Klippenstein, P.C. 1800 Church St Suite 150 Nashville TN 4 (Atlanta) 08/01/2018 969T21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0521 HVAC Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 44C0001062 Jackson Ophthalmology Asc, Llc 207 Stonebridge Boulevard Jackson TN 4 (Atlanta) 09/04/2024 63B69-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 44C0001063 Radiosurgical Center Of Memphis, L.P. 1265 Union Avenue Memphis TN 4 (Atlanta) 09/18/2023 61044-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
▼ 44C0001077 Union City Asc Llc 1109 East Reelfoot Avenue Union City TN 4 (Atlanta) 10/03/2023 6133D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 44C0001077 Union City Asc Llc 1109 East Reelfoot Avenue Union City TN 4 (Atlanta) 10/02/2023 6133D-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
K0353 Sprinkler System - Maintenance and Testing Standard