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
45C0001211 Careos Surgicenter Llc 3705 Medical Parkway 110 Austin TX 6 (Dallas) 12/12/2018 7Q8A21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling 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
45C0001215 Heights Surgery Center 427 West 20th Street, Suite 102 Houston TX 6 (Dallas) 07/05/2019 5OXJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance 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
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location 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
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
45C0001215 Heights Surgery Center 427 West 20th Street, Suite 102 Houston TX 6 (Dallas) 02/06/2019 5OXJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
Q0041 CONTRACT SERVICES Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
45C0001221 Victoria Surgery Center Inc 105 James Coleman Drive Victoria TX 6 (Dallas) 09/13/2023 60FB1-H1 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
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
45C0001226 Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp 1305 Wonder World Drive Suite 105 San Marcos TX 6 (Dallas) 08/26/2021 BKI621 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
K0355 Portable Fire Extinguishers Standard
K0751 Draperies, Curtains, and Loosely Hanging Fabrics Standard
K0900 Health Care Facilities Code - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
45C0001226 Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp 1305 Wonder World Drive Suite 105 San Marcos TX 6 (Dallas) 01/26/2021 BKI611 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
Q0181 ADMINISTRATION OF DRUGS Standard
45C0001230 Clinic For Special Surgery,The 900 12th Avenue Fort Worth TX 6 (Dallas) 08/18/2021 FJAW11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
45C0001232 Valley Baptist Ambulatory Surgery Center, L.L.C. 2220 Pease Street Harlingen TX 6 (Dallas) 09/27/2022 ZO38-H1 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
Q0241 SANITARY ENVIRONMENT Standard
45C0001232 Valley Baptist Ambulatory Surgery Center, L.L.C. 2220 Pease Street Harlingen TX 6 (Dallas) 07/09/2019 HKOM11 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
Q0240 INFECTION CONTROL Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0245 INFECTION CONTROL PROGRAM Standard
45C0001232 Valley Baptist Ambulatory Surgery Center, L.L.C. 2220 Pease Street Harlingen TX 6 (Dallas) 03/12/2019 L3R411 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0120 MEDICAL STAFF Condition
Q0219 PATIENT RIGHTS Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0122 REAPPRAISALS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard