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
▼ 45C0001074 Mann Cataract Surgery Center 18850 S Memorial Blvd Humble TX 6 (Dallas) 02/22/2023 RYCC-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0500 Building Services - Other Standard
K0712 Fire Drills 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
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001074 Mann Cataract Surgery Center 18850 S Memorial Blvd Humble TX 6 (Dallas) 05/11/2018 753X21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0521 HVAC Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 45C0001077 Memorial Hermann Surgery Center Preston Road, Ltd 5146 Preston Avenue Pasadena TX 6 (Dallas) 08/22/2024 63F89-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
▼ 45C0001077 Memorial Hermann Surgery Center Preston Road, Ltd 5146 Preston Avenue Pasadena TX 6 (Dallas) 11/05/2020 HNSD11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001077 Memorial Hermann Surgery Center Preston Road, Ltd 5146 Preston Avenue Pasadena TX 6 (Dallas) 07/18/2019 GRNW21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0500 Building Services - Other Standard
▼ 45C0001077 Memorial Hermann Surgery Center Preston Road, Ltd 5146 Preston Avenue Pasadena TX 6 (Dallas) 02/22/2019 GRNW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001082 Dallas Surgi Center 8230 Walnut Hill Ln Suite 808 Dallas TX 6 (Dallas) 04/12/2023 PQ1L-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0911 Electrical Systems - Other Standard
▼ 45C0001082 Dallas Surgi Center 8230 Walnut Hill Ln Suite 808 Dallas TX 6 (Dallas) 01/18/2018 OBJZ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0700 Operating Features - Other Standard
K0712 Fire Drills Standard
K0900 Health Care Facilities Code - Other Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
▼ 45C0001083 Surgeyecare General Partnership 5421 La Sierra Dr Dallas TX 6 (Dallas) 12/21/2022 N72U-L1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0331 Interior Wall and Ceiling Finish Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001083 Surgeyecare General Partnership 5421 La Sierra Dr Dallas TX 6 (Dallas) 01/18/2018 X5KO21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0712 Fire Drills Standard