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
▼ 45C0001267 Surgery Center Of Nacogdoches The 4948 N E Stallings Drive Nacogdoches TX 6 (Dallas) 01/28/2019 I68511 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0219 PATIENT RIGHTS Condition
Q0232 SAFETY Standard
▼ 45C0001270 Texas Midwest Surgery Center Llc 751 North 18th Street Abilene TX 6 (Dallas) 01/18/2018 HMIH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard
▼ 45C0001272 Sdm Asc Llc 6311 Southwest Blvd Benbrook TX 6 (Dallas) 01/10/2023 HMD8-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0911 Electrical Systems - Other Standard
▼ 45C0001273 Premier Center Of Surgical Arts Llc, 5316 West Plano Parkway Plano TX 6 (Dallas) 02/13/2020 JRW611 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0120 MEDICAL STAFF Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001273 Premier Center Of Surgical Arts Llc, 5316 West Plano Parkway Plano TX 6 (Dallas) 02/06/2020 JRW621 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0903 Gas and Vacuum Piped Systems - Categories Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001277 Texas Endoscopy Centers Llc 6405 W Parker Rd Ste 370 Plano TX 6 (Dallas) 08/25/2021 IPFI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001277 Texas Endoscopy Centers Llc 6405 W Parker Rd Ste 370 Plano TX 6 (Dallas) 02/26/2020 5UZO21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0500 Building Services - Other Standard
K0712 Fire Drills Standard
K0741 Smoking Regulations Standard
K0911 Electrical Systems - Other Standard
▼ 45C0001279 San Marcos Asc, Llc 1891 Medical Parkway San Marcos TX 6 (Dallas) 01/15/2019 8Y5511 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0101 PHYSICAL ENVIRONMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0226 GRIEVANCES - MISTREATMENT, ABUSE Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001284 Surgicare Of South Austin 4307 James Casey Austin TX 6 (Dallas) 01/16/2019 UVV311 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
▼ 45C0001291 Endoscopy Center At Central Park 1600 Central Drive Suite 300 Bedford TX 6 (Dallas) 06/21/2023 NLLB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0500 Building Services - Other Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard