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
▼ 44C0001114 Wartburg Surgery Center, Llc 1236 Knoxville Highway Suite C Wartburg TN 4 (Atlanta) 02/21/2018 Q11B21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 44C0001116 Cataract And Laser Center Llc 15 Iris Lane Crossville TN 4 (Atlanta) 07/31/2019 NXHQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
Q0241 SANITARY ENVIRONMENT Standard
▼ 44C0001116 Cataract And Laser Center Llc 15 Iris Lane Crossville TN 4 (Atlanta) 07/30/2019 NXHQ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 44C0001117 Campbell Clinic Surgery Center Llc 7887 Wolf River Blvd Germantown TN 4 (Atlanta) 08/07/2023 60AF5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0531 Elevators Standard
▼ 44C0001118 Urology Ambulatory Surgery Center, Llc 1325 Wolf Park Drive Germantown TN 4 (Atlanta) 01/10/2024 O2Z8-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
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
▼ 44C0001119 Saint Thomas Campus Surgicare Lp 4260 Harding Road Nashville TN 4 (Atlanta) 09/11/2019 XSQ311 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
▼ 44C0001119 Saint Thomas Campus Surgicare Lp 4260 Harding Road Nashville TN 4 (Atlanta) 09/11/2019 XSQ321 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 44C0001120 Semmes-Murphey Clinic Lc 6325 Humphreys Blvd Memphis TN 4 (Atlanta) 05/22/2024 632BC-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
Q0101 PHYSICAL ENVIRONMENT Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 44C0001120 Semmes-Murphey Clinic Lc 6325 Humphreys Blvd Memphis TN 4 (Atlanta) 05/20/2024 632BC-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 44C0001130 Tennessee Pain Surgery Center, Llc 5811 Crossings Blvd Antioch TN 4 (Atlanta) 02/11/2020 6F4121 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0511 Utilities - Gas and Electric Standard