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
▼ 45C0001442 Memorial Hermann Surgery Center Kingsland, Llc 21720 Kingsland Blvd - Suite 101 Katy TX 6 (Dallas) 06/23/2022 4F1C8-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0912 Electrical Systems - Receptacles Standard
▼ 45C0001443 Memorial Hermann Surgery Center Southwest Llp 7789 Southwest Freeway Suite 200 Houston TX 6 (Dallas) 01/11/2023 5EAE7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 45C0001443 Memorial Hermann Surgery Center Southwest Llp 7789 Southwest Freeway Suite 200 Houston TX 6 (Dallas) 09/27/2018 NSQ921 Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
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
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
▼ 45C0001446 Memorial Hermann Surgery Center Texas Medical Center Llp 6400 Fannin Street 1500 Houston TX 6 (Dallas) 07/19/2023 6076B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
▼ 45C0001446 Memorial Hermann Surgery Center Texas Medical Center Llp 6400 Fannin Street 1500 Houston TX 6 (Dallas) 04/25/2019 1GDS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001446 Memorial Hermann Surgery Center Texas Medical Center Llp 6400 Fannin Street 1500 Houston TX 6 (Dallas) 11/20/2018 1GDS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0901 Fundamentals - Building System Categories Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0922 Gas Equipment - Other Standard
▼ 45C0001447 Memorial Heramann Surgery Center Katy Llp 23920 Katy Freeway Suite 200 Houston TX 6 (Dallas) 01/27/2023 5EBD1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 45C0001447 Memorial Heramann Surgery Center Katy Llp 23920 Katy Freeway Suite 200 Houston TX 6 (Dallas) 05/16/2022 RRQ3-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0355 Portable Fire Extinguishers Standard
K0500 Building Services - Other Standard
K0791 Maintenance, Inspection, and Testing ? Electrical Equipment Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 45C0001447 Memorial Heramann Surgery Center Katy Llp 23920 Katy Freeway Suite 200 Houston TX 6 (Dallas) 02/05/2020 RRQ311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001449 Memorial Hermann Surgery Center Sugarland 17510 West Grand Parkway, Suite 200 Sugar Land TX 6 (Dallas) 10/25/2018 DMKF21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0500 Building Services - Other Standard
K0700 Operating Features - Other Standard
K0712 Fire Drills Standard
K0901 Fundamentals - Building System Categories Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard