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
▼ 45C0001334 Preston Road Surgery Center 17950 Preston Road Suite 75 Dallas TX 6 (Dallas) 01/11/2023 NYJH-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0371 Subdivision of Building Spaces ? Smoke Compartments Standard
▼ 45C0001334 Preston Road Surgery Center 17950 Preston Road Suite 75 Dallas TX 6 (Dallas) 01/18/2018 H8FH21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
▼ 45C0001335 Odessa Endoscopy Center Llc 315 East 5th Street Odessa TX 6 (Dallas) 06/26/2019 FQ4011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001335 Odessa Endoscopy Center Llc 315 East 5th Street Odessa TX 6 (Dallas) 05/08/2019 FQ4021 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0331 Interior Wall and Ceiling Finish Standard
K0911 Electrical Systems - Other Standard
▼ 45C0001336 Caplan Surgery Center 3100 Weslayan Suite 400 Houston TX 6 (Dallas) 03/31/2021 S8VO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
▼ 45C0001336 Caplan Surgery Center 3100 Weslayan Suite 400 Houston TX 6 (Dallas) 03/05/2020 S8VO21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0341 Fire Alarm System - Installation Standard
K0500 Building Services - Other 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
K0919 Electrical Equipment - Other Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 45C0001337 Waco Gastroenterology Endoscopy Center 364 Richland West Circle Suite B Waco TX 6 (Dallas) 02/05/2019 LNP211 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001338 San Antonio Endoscopy Center 8550 Datapoint Drive Suite 100 San Antonio TX 6 (Dallas) 04/26/2018 21OC21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0900 Health Care Facilities Code - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 45C0001339 Endoscopy Center At Ridge Plaza 1200 E Savannah Suite 15 Mcallen TX 6 (Dallas) 01/31/2018 DSDU11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard
▼ 45C0001340 River Oaks Endoscopy 1501 River Point Drive Suite 260 Conroe TX 6 (Dallas) 01/11/2023 5ECC7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard