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
▼ 45C0001375 North Austin Surgery Center 12201 Renfert Way Suite 100 Austin TX 6 (Dallas) 04/19/2021 5O2K11 Complaint
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
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 45C0001376 City View Surgery Center 6551 Harris Parkway Fort Worth TX 6 (Dallas) 07/10/2019 OB5A11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001376 City View Surgery Center 6551 Harris Parkway Fort Worth TX 6 (Dallas) 05/23/2019 OB5A21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0500 Building Services - 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
K0919 Electrical Equipment - Other Standard
▼ 45C0001377 Health Texas Provider Network-Gastroenterology Services Llp 4708 Alliance Blvd Suite 210 Plano TX 6 (Dallas) 01/14/2022 XK5821 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0500 Building Services - Other Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 45C0001377 Health Texas Provider Network-Gastroenterology Services Llp 4708 Alliance Blvd Suite 210 Plano TX 6 (Dallas) 09/22/2021 XK5811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
▼ 45C0001384 Tuscan Surgery Center At Las Colinas Llc 701 Tuscan Drive Suite 100 Irving TX 6 (Dallas) 04/12/2022 KCKY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001388 Denton Regional Ambulaory Surgery Center Lp 3316 Colorado Blvd Denton TX 6 (Dallas) 06/27/2018 7K5S11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0181 ADMINISTRATION OF DRUGS Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001391 Texas Endoscopy Llc 8080 Independence Parkway Suite160 Plano TX 6 (Dallas) 07/21/2021 CZUN11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0201 LABORATORY SERVICES Standard
▼ 45C0001391 Texas Endoscopy Llc 8080 Independence Parkway Suite160 Plano TX 6 (Dallas) 02/06/2019 VH1U11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 45C0001394 Wichita Falls Endoscopy Center Lp 1500 9th Street Wichita Falls TX 6 (Dallas) 04/10/2018 126311 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard