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
▼ 45C0001542 Nw Ambulatory Surgery Center, Llp 4800 Federal Plaza Drive Houston TX 6 (Dallas) 03/02/2023 5F450-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0500 Building Services - Other Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 45C0001542 Nw Ambulatory Surgery Center, Llp 4800 Federal Plaza Drive Houston TX 6 (Dallas) 09/14/2022 Y8Y0-H1 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
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001543 Texas Health Surgery Center Alliance Llc 10840 Texas Health Trail Suite 100 Fort Worth TX 6 (Dallas) 04/23/2018 BUV411 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001544 Hays Surgery Center Llc 135 Bunton Creek Rd Kyle TX 6 (Dallas) 01/28/2026 1E1FDA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0110 EMERGENCY PERSONNEL Standard
▼ 45C0001544 Hays Surgery Center Llc 135 Bunton Creek Rd Kyle TX 6 (Dallas) 09/23/2021 TNTH21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0500 Building Services - Other Standard
K0700 Operating Features - Other Standard
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001544 Hays Surgery Center Llc 135 Bunton Creek Rd Kyle TX 6 (Dallas) 07/13/2021 TNTH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0220 NOTICE - POSTING Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 45C0001545 University Of Houston System 4349 Martin Luther King Blvd, Suite 100 Houston TX 6 (Dallas) 05/18/2022 TPJB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0323 Anesthetizing Locations Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0500 Building Services - Other Standard
K0712 Fire Drills Standard
▼ 45C0001545 University Of Houston System 4349 Martin Luther King Blvd, Suite 100 Houston TX 6 (Dallas) 06/16/2021 TPJB11 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
Q0141 ORGANIZATION AND STAFFING Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001551 Wilson Creek Surgical Center Llc 8855 Synergy Drive Mc Kinney TX 6 (Dallas) 07/11/2018 IMR211 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 45C0001555 Executive Surgery Center Llc 13603 Michel Road Tomball TX 6 (Dallas) 08/16/2023 5FCD0-H1 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