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

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
45C0001004 Bailey Square Surgical Center Ltd 1111 West 34th Street Austin TX 6 (Dallas) 04/09/2019 XFB211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
45C0001004 Bailey Square Surgical Center Ltd 1111 West 34th Street Austin TX 6 (Dallas) 12/06/2018 XFB221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0355 Portable Fire Extinguishers Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0500 Building Services - Other Standard
K0901 Fundamentals - Building System Categories Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
45C0001005 Arlington Day Surgery Center 918 N Davis Drive Arlington TX 6 (Dallas) 06/13/2019 3CKV21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0521 HVAC Standard
45C0001010 San Antonio Eye Center, Pa 715 Camden St San Antonio TX 6 (Dallas) 11/29/2022 34BI-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0500 Building Services - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
45C0001010 San Antonio Eye Center, Pa 715 Camden St San Antonio TX 6 (Dallas) 08/17/2021 Z28X11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0240 INFECTION CONTROL Condition
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
Q0002 DEFINITIONS Standard
Q0041 CONTRACT SERVICES Standard
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
45C0001010 San Antonio Eye Center, Pa 715 Camden St San Antonio TX 6 (Dallas) 04/26/2018 Y2UY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0222 Egress Doors Standard
K0223 Doors with Self-Closing Devices Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
45C0001011 Healthsouth Fort Worth Surgery Associates Lp 2001 W Rosedale Fort Worth TX 6 (Dallas) 08/29/2019 PZTD11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
45C0001011 Healthsouth Fort Worth Surgery Associates Lp 2001 W Rosedale Fort Worth TX 6 (Dallas) 05/23/2019 PZTD21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0500 Building Services - Other Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0919 Electrical Equipment - Other Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
45C0001012 Bay Area Surgicare Center 502 Medical Center Blvd Webster TX 6 (Dallas) 06/14/2019 8XAG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
45C0001012 Bay Area Surgicare Center 502 Medical Center Blvd Webster TX 6 (Dallas) 08/30/2018 8XAG21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0300 Protection - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0700 Operating Features - Other Standard
K0901 Fundamentals - Building System Categories Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard