S&C QCOR ASC 2567s
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ASCs 2567s
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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
▼ 45C0001323 Elite Pain And Spine Surgery Center. 24 Care Circle Amarillo TX 6 (Dallas) 04/09/2019 7N0R11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0232 SAFETY Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 45C0001323 Elite Pain And Spine Surgery Center. 24 Care Circle Amarillo TX 6 (Dallas) 01/23/2019 7N0R21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0901 Fundamentals - Building System Categories Standard
▼ 45C0001324 Palestine Laser And Surgery Center 501b East Kolstad Palestine TX 6 (Dallas) 08/19/2020 724R11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 45C0001325 Mec Endoscopy, Llc 21814 Katy Freeway, Suite 100 Katy TX 6 (Dallas) 06/04/2021 DK6T11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0018 Procedures for Tracking of Staff and Patients Standard
E0029 Development of Communication Plan Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 45C0001325 Mec Endoscopy, Llc 21814 Katy Freeway, Suite 100 Katy TX 6 (Dallas) 08/07/2019 ET5H11 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
E0018 Procedures for Tracking of Staff and Patients Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0029 Development of Communication Plan Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001325 Mec Endoscopy, Llc 21814 Katy Freeway, Suite 100 Katy TX 6 (Dallas) 01/15/2019 ET5H21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0331 Interior Wall and Ceiling Finish Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0500 Building Services - Other Standard
K0901 Fundamentals - Building System Categories Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001327 Texas Gi Endoscopy Center 2704 Galloway Suite 102 Mesquite TX 6 (Dallas) 07/14/2021 AP1Z11 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
▼ 45C0001327 Texas Gi Endoscopy Center 2704 Galloway Suite 102 Mesquite TX 6 (Dallas) 01/16/2020 ZLKZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001333 Park Ventura Endoscopy Center Llc 3500 Preston Road Suite 200 Plano TX 6 (Dallas) 02/26/2020 VDDZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001333 Park Ventura Endoscopy Center Llc 3500 Preston Road Suite 200 Plano TX 6 (Dallas) 02/26/2020 VDDZ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0355 Portable Fire Extinguishers Standard
K0500 Building Services - Other Standard
K0712 Fire Drills Standard
K0901 Fundamentals - Building System Categories Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard