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
▼ 45C0001340 River Oaks Endoscopy 1501 River Point Drive Suite 260 Conroe TX 6 (Dallas) 11/03/2020 W22311 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001340 River Oaks Endoscopy 1501 River Point Drive Suite 260 Conroe TX 6 (Dallas) 01/26/2018 IV1M21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0300 Protection - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0500 Building Services - Other Standard
K0901 Fundamentals - Building System Categories Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001340 River Oaks Endoscopy 1501 River Point Drive Suite 260 Conroe TX 6 (Dallas) 01/05/2018 IV1M11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001342 Md Aesthetic Surgery Center 1200 Binz Suite 1000 Houston TX 6 (Dallas) 04/05/2022 UMLW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 45C0001344 Midand Texas Surgical Center Llc 5609 Deauville Blvd Midland TX 6 (Dallas) 02/15/2023 5E2B3-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0500 Building Services - Other Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
▼ 45C0001344 Midand Texas Surgical Center Llc 5609 Deauville Blvd Midland TX 6 (Dallas) 11/01/2022 5E2B3-H1 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
▼ 45C0001349 West Park Surgery Center Lp 4510 Medical Center Drive Suite 150 Mckinney TX 6 (Dallas) 05/23/2023 9XDT-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0500 Building Services - Other Standard
K0901 Fundamentals - Building System Categories Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 45C0001349 West Park Surgery Center Lp 4510 Medical Center Drive Suite 150 Mckinney TX 6 (Dallas) 04/22/2022 9XDT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0228 EXERCISE OF RIGHTS - GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001351 Theda Oaks Gastroenterology And Endoscopy Center 19226 Stone Hue, Suite 103 San Antonio TX 6 (Dallas) 04/07/2022 2BB421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0161 Building Construction Type and Height Standard
K0291 Emergency Lighting Standard
K0324 Cooking Facilities Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0791 Maintenance, Inspection, and Testing ? Electrical Equipment Standard
▼ 45C0001351 Theda Oaks Gastroenterology And Endoscopy Center 19226 Stone Hue, Suite 103 San Antonio TX 6 (Dallas) 03/10/2022 2BB411 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard