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
▼ 45C0001192 East Side Surgery Center, Inc 10918 East Freeway Houston TX 6 (Dallas) 06/03/2021 YTN011 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001194 Memorial Hermann Bay Area Endoscopy Center, Llc 444 Fm 1959, Suite B Houston TX 6 (Dallas) 05/18/2022 TQ4W-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
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0751 Draperies, Curtains, and Loosely Hanging Fabrics Standard
▼ 45C0001194 Memorial Hermann Bay Area Endoscopy Center, Llc 444 Fm 1959, Suite B Houston TX 6 (Dallas) 02/25/2022 9HQK11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
▼ 45C0001194 Memorial Hermann Bay Area Endoscopy Center, Llc 444 Fm 1959, Suite B Houston TX 6 (Dallas) 02/25/2022 TQ4W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001196 Bellaire Outpatient Surgery Center Llp 7200 Oakmont Blvd Fort Worth TX 6 (Dallas) 08/03/2021 WC2Y11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001206 Center For Assisted Reproduction 1701 Park Place Ave Bedford TX 6 (Dallas) 08/22/2019 FVUE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0104 SAFETY FROM FIRE Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001206 Center For Assisted Reproduction 1701 Park Place Ave Bedford TX 6 (Dallas) 04/10/2019 FVUE21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0919 Electrical Equipment - Other Standard
▼ 45C0001210 Highland Park Plastic Surgery Center 6110 Sherry Lane Dallas TX 6 (Dallas) 02/28/2022 J2AH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0231 PRIVACY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001210 Highland Park Plastic Surgery Center 6110 Sherry Lane Dallas TX 6 (Dallas) 08/24/2021 J2AH21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
K0912 Electrical Systems - Receptacles Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001211 Careos Surgicenter Llc 3705 Medical Parkway 110 Austin TX 6 (Dallas) 03/27/2019 7Q8A11 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
Q0241 SANITARY ENVIRONMENT Standard