S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
ASCs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 45C0001352 Walnut Hill Surgery Center 5494 Glen Lakes Drive Dallas TX 6 (Dallas) 12/21/2022 5ECF2-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0331 Interior Wall and Ceiling Finish 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
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 45C0001355 Baylor Surgicare At Plano Llc 1701 Ohio Drive Plano TX 6 (Dallas) 07/27/2021 VZ9F11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0232 SAFETY Standard
▼ 45C0001357 Physicians Surgical Center Of Fort Worth Llp 750 12th Avenue Fort Worth TX 6 (Dallas) 07/24/2019 XDYO11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001357 Physicians Surgical Center Of Fort Worth Llp 750 12th Avenue Fort Worth TX 6 (Dallas) 05/21/2019 XDYO21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0500 Building Services - Other Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
▼ 45C0001360 Allen Surgical Center Llc 1111 Raintree Circle Suite 190 Allen TX 6 (Dallas) 01/22/2020 J56211 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
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 45C0001363 Memorial Hermann Endoscopy Center North Freeway, Llc 1900 North Loop Freeway West Houston TX 6 (Dallas) 03/23/2023 5F51D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0065 PHYSICIAN EVALUATION OF RISK Standard
▼ 45C0001363 Memorial Hermann Endoscopy Center North Freeway, Llc 1900 North Loop Freeway West Houston TX 6 (Dallas) 03/06/2020 53ZG21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0500 Building Services - Other Standard
K0711 Evacuation and Relocation Plan Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms 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
▼ 45C0001363 Memorial Hermann Endoscopy Center North Freeway, Llc 1900 North Loop Freeway West Houston TX 6 (Dallas) 02/19/2020 53ZG11 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
Q0041 CONTRACT SERVICES Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001365 Christus Santa Rosa Outpatient Surgery - New Braunfels. Lp 1738 E Common Street New Braunfels TX 6 (Dallas) 01/18/2018 YB7311 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 45C0001369 Memorial Hermann Surgery Center Northwest, Llp 1631 North Loop West Suite 300 Houston TX 6 (Dallas) 05/17/2022 E63O-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0222 Egress Doors Standard
K0291 Emergency Lighting Standard
K0322 Laboratories Standard
K0351 Sprinkler System - Installation Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard