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
▼ 45C0001250 Shoreline Surgery Center, Llp 718 Elizabeth Street Corpus Christi TX 6 (Dallas) 01/11/2023 4ECC4-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS: Memo
K0013 Construction Standard
K0029 Hazardous Area Protection Standard
K0051 Fire Alarm Systems Standard
K0072 Furnishings and Decorations Standard
▼ 45C0001252 North Hills Surgicare Lp 4375 Booth Calloway Rd Ste 100 North Richland Hills TX 6 (Dallas) 08/23/2018 X2ZU11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001252 North Hills Surgicare Lp 4375 Booth Calloway Rd Ste 100 North Richland Hills TX 6 (Dallas) 08/09/2018 X2ZU21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 45C0001255 Endoscopy Center At Redbird Square 3107 West Camp Wisdom Road Suite 189 Dallas TX 6 (Dallas) 11/19/2019 7K4R11 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
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001260 Ks Sc, Llc 2727 West Holcombe 3rd Floor Houston TX 6 (Dallas) 07/23/2019 UTKI11 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
Q0001 BASIC REQUIREMENTS Condition
Q0040 GOVERNING BODY AND MANAGEMENT Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0022 Policies/Procedures for Sheltering in Place Standard
Q0002 DEFINITIONS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001260 Ks Sc, Llc 2727 West Holcombe 3rd Floor Houston TX 6 (Dallas) 12/20/2018 UTKI21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0351 Sprinkler System - Installation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction 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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001261 Abilene Spine & Joint Surgery Center Pa 4351 Ridgemont Drive Suite B Abilene TX 6 (Dallas) 05/08/2019 UJU011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001262 Cp Surgery Center, Llc 900 W 38th Street Austin TX 6 (Dallas) 10/12/2023 61412-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 45C0001265 Central Texas Endoscopy Center Llc 2206 E Villa Maria Bryan TX 6 (Dallas) 11/10/2022 T5OE-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0911 Electrical Systems - Other Standard
▼ 45C0001265 Central Texas Endoscopy Center Llc 2206 E Villa Maria Bryan TX 6 (Dallas) 10/25/2022 5E17B-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
Q0062 ANESTHETIC - DISCHARGE Standard