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
▼ 44C0001077 Union City Asc Llc 1109 East Reelfoot Avenue Union City TN 4 (Atlanta) 07/26/2018 277321 Recertification
Deficiency Tag Deficiency Description Tag Type
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0032 Primary/Alternate Means for Communication Standard
E0039 EP Testing Requirements Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 44C0001083 Associated Endoscopy Asc 5653 Frist Blvd, Suite 532 Hermitage TN 4 (Atlanta) 01/10/2018 X91K11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0032 Primary/Alternate Means for Communication Standard
E0039 EP Testing Requirements Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 44C0001083 Associated Endoscopy Asc 5653 Frist Blvd, Suite 532 Hermitage TN 4 (Atlanta) 01/09/2018 X91K21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0511 Utilities - Gas and Electric Standard
K0521 HVAC Standard
▼ 44C0001087 Clarksville Surgery Center, Llc 793 Weatherly Drive Clarksville TN 4 (Atlanta) 04/18/2018 J08O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 44C0001088 Middle Tn Ambulatory Surgery Center 1800 Medical Center Pkwy Ste 120 Murfreesboro TN 4 (Atlanta) 04/11/2018 4PZ411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0018 Procedures for Tracking of Staff and Patients Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 44C0001088 Middle Tn Ambulatory Surgery Center 1800 Medical Center Pkwy Ste 120 Murfreesboro TN 4 (Atlanta) 04/11/2018 4PZ421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 44C0001093 The Surgery Center Of Middle Tennessee 1050 N James Campbell Blvd Suite 120 Columbia TN 4 (Atlanta) 04/22/2026 22F7CF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 44C0001093 The Surgery Center Of Middle Tennessee 1050 N James Campbell Blvd Suite 120 Columbia TN 4 (Atlanta) 04/22/2026 22F7CF-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 44C0001093 The Surgery Center Of Middle Tennessee 1050 N James Campbell Blvd Suite 120 Columbia TN 4 (Atlanta) 01/18/2018 8LU621 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0511 Utilities - Gas and Electric Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 44C0001093 The Surgery Center Of Middle Tennessee 1050 N James Campbell Blvd Suite 120 Columbia TN 4 (Atlanta) 01/17/2018 8LU611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard