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
▼ 45C0001177 Las Colinas Surgery Center Ltd 4255 N Mac Arthur Blvd Irving TX 6 (Dallas) 05/08/2019 2W7111 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 45C0001177 Las Colinas Surgery Center Ltd 4255 N Mac Arthur Blvd Irving TX 6 (Dallas) 12/06/2018 2W7121 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0902 Gas and Vacuum Piped Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
K0928 Gas Equipment ? Labeling Equipment and Cylinders Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001178 Sa Endoscopy Endoscopy Surgicenter, Llc 520 East Euclid Ave San Antonio TX 6 (Dallas) 03/15/2023 8UNZ-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0281 Illumination of Means of Egress Standard
K0342 Fire Alarm System - Initiation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0521 HVAC Standard
K0901 Fundamentals - Building System Categories Standard
K0911 Electrical Systems - Other Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001180 Fort Worth Endoscopy Ctr 900 West Magnolia Avenue Suite 101 Fort Worth TX 6 (Dallas) 02/04/2020 53GY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0351 Sprinkler System - Installation Standard
K0903 Gas and Vacuum Piped Systems - Categories Standard
K0911 Electrical Systems - Other Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001180 Fort Worth Endoscopy Ctr 900 West Magnolia Avenue Suite 101 Fort Worth TX 6 (Dallas) 12/10/2019 53GY11 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
▼ 45C0001181 Abilene Endoscopy Ctr 1249 Ambler Suite 100 Abilene TX 6 (Dallas) 01/17/2018 Z2D811 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0160 MEDICAL RECORDS Condition
Q0240 INFECTION CONTROL Condition
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001183 Rushland Park Surgicenter, Lp 4404 6th Street Lubbock TX 6 (Dallas) 06/28/2023 6017A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
▼ 45C0001183 Rushland Park Surgicenter, Lp 4404 6th Street Lubbock TX 6 (Dallas) 02/08/2023 3W8B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0500 Building Services - Other Standard
K0700 Operating Features - Other Standard
K0901 Fundamentals - Building System Categories 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
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 45C0001184 Southwest Endoscopy And Surgery Center 701 East Rendon Crowley Road Burleson TX 6 (Dallas) 04/17/2018 QC9B11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001185 Texarkana Surgery Ctr 5404 Summerhill Rd Texarkana TX 6 (Dallas) 10/11/2019 F9J611 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0060 SURGICAL SERVICES Condition
Q0140 NURSING SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard