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
▼ 45C0001396 Centennial Asc Llc 4401 Coit Road Suite 100 Frisco TX 6 (Dallas) 11/07/2019 UBYQ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0903 Gas and Vacuum Piped Systems - Categories Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001396 Centennial Asc Llc 4401 Coit Road Suite 100 Frisco TX 6 (Dallas) 10/16/2019 UBYQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 45C0001401 Waxahachie Surgery Center 101 Ymca Drive Waxahachie TX 6 (Dallas) 03/20/2023 5F5B2-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0300 Protection - 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
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 45C0001402 Christus Santa Rosa Pasc-San Antonio Llc 423 Treeline Park, Ste 202 San Antonio TX 6 (Dallas) 07/09/2019 ROMB11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0034 Information on Occupancy/Needs Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0161 ORGANIZATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001406 Memorial Hermann Surgery Center The Woodlands 9200 Pinecroft Suite 200 The Woodlands TX 6 (Dallas) 11/02/2022 5E4DF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
▼ 45C0001406 Memorial Hermann Surgery Center The Woodlands 9200 Pinecroft Suite 200 The Woodlands TX 6 (Dallas) 05/10/2018 BXCS11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001406 Memorial Hermann Surgery Center The Woodlands 9200 Pinecroft Suite 200 The Woodlands TX 6 (Dallas) 01/25/2018 BXCS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0901 Fundamentals - Building System Categories Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001409 Outpatient Womens And Childrens Surgery 7700 Fannin Suite 650 Houston TX 6 (Dallas) 02/28/2025 657B8-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 45C0001409 Outpatient Womens And Childrens Surgery 7700 Fannin Suite 650 Houston TX 6 (Dallas) 12/13/2022 5E9FE-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0231 Means of Egress Capacity Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0500 Building Services - Other Standard
K0712 Fire Drills Standard
K0911 Electrical Systems - Other 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
▼ 45C0001411 First Surgical Woodlands Lp 26710 I-45 North Freeway, Suite B-100 Spring TX 6 (Dallas) 02/14/2023 S0FV-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0300 Protection - Other Standard
K0331 Interior Wall and Ceiling Finish Standard
K0500 Building Services - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard