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
▼ 45C0001512 Willow Creek Surgery Center Lp 300 Willow Creek Parkway Ste 100 Palestine TX 6 (Dallas) 09/05/2018 L2TZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0160 MEDICAL RECORDS Condition
Q0219 PATIENT RIGHTS Condition
Q0240 INFECTION CONTROL Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0029 Development of Communication Plan Standard
Q0041 CONTRACT SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0232 SAFETY Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001513 Memorial Hermann Surgery Center Memorial City, Llc 1120 Business Center Drive Houston TX 6 (Dallas) 06/22/2022 XCS8-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0323 Anesthetizing Locations Standard
K0351 Sprinkler System - Installation Standard
K0521 HVAC Standard
K0712 Fire Drills Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0912 Electrical Systems - Receptacles Standard
▼ 45C0001513 Memorial Hermann Surgery Center Memorial City, Llc 1120 Business Center Drive Houston TX 6 (Dallas) 05/04/2022 XCS811 Complaint, 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
Q0104 SAFETY FROM FIRE Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001513 Memorial Hermann Surgery Center Memorial City, Llc 1120 Business Center Drive Houston TX 6 (Dallas) 09/10/2020 X3MO11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 45C0001517 Cedar Park Surgery Center Llc 351 Cypress Creek Road, Ste 102 Cedar Park TX 6 (Dallas) 06/04/2019 PT3211 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
▼ 45C0001517 Cedar Park Surgery Center Llc 351 Cypress Creek Road, Ste 102 Cedar Park TX 6 (Dallas) 10/31/2018 PT3221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - 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
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001518 Houston Children's Dental Center, Llc 3800 N Shepherd Dr, Ste B Houston TX 6 (Dallas) 06/14/2018 1MSV11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001521 Trusted Care San Antonio Nw, Llc 2116 Babcock Road San Antonio TX 6 (Dallas) 02/14/2019 HHSK11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 45C0001522 The Surgery Center At Williamson, Llc 301 Seton Parkway, Suite 200 Round Rock TX 6 (Dallas) 01/22/2018 PI4911 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard
▼ 45C0001528 Kingwood Surgery Center, Llc 19502 Mckay Drive, Suite 101 Humble TX 6 (Dallas) 08/20/2024 63F14-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard