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
▼ 45C0001232 Valley Baptist Ambulatory Surgery Center, L.L.C. 2220 Pease Street Harlingen TX 6 (Dallas) 10/17/2018 HKOM21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0901 Fundamentals - Building System Categories Standard
▼ 45C0001233 Hill Country Memorial Surgery Center Llc 204 Gateway Marble Falls TX 6 (Dallas) 12/04/2018 WM7511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0232 SAFETY Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 45C0001233 Hill Country Memorial Surgery Center Llc 204 Gateway Marble Falls TX 6 (Dallas) 11/28/2018 WM7521 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0281 Illumination of Means of Egress Standard
K0293 Exit Signage Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0919 Electrical Equipment - Other Standard
K0922 Gas Equipment - Other Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001234 South Arlington Surgical Providers Inc 350 East Interstate 20 Ste 200 Arlington TX 6 (Dallas) 02/21/2023 60E2C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
▼ 45C0001235 The Surgical Center Of Midland 2706 West Cuthbert, Building A Midland TX 6 (Dallas) 04/10/2019 DLQ111 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
Q0110 EMERGENCY PERSONNEL Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 45C0001235 The Surgical Center Of Midland 2706 West Cuthbert, Building A Midland TX 6 (Dallas) 01/22/2019 DLQ121 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0223 Doors with Self-Closing Devices Standard
▼ 45C0001237 Lewisville Surgery Center 591 West Main St Lewisville TX 6 (Dallas) 05/10/2018 XSF821 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 45C0001237 Lewisville Surgery Center 591 West Main St Lewisville TX 6 (Dallas) 01/31/2018 XSF811 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
▼ 45C0001240 Golden Triangle Surgery Center Llc 3560 College St Beaumont TX 6 (Dallas) 02/14/2019 SQHD21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0911 Electrical Systems - Other Standard
▼ 45C0001241 Maplewood Ambulatory Surgery Ctr Inc 4301 Maplewood Ste C Wichita Falls TX 6 (Dallas) 08/17/2021 C24F11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0123 OTHER PRACTITIONERS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0241 SANITARY ENVIRONMENT Standard