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
▼ 45C0001555 Executive Surgery Center Llc 13603 Michel Road Tomball TX 6 (Dallas) 03/09/2023 5F6A8-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
▼ 45C0001556 Vivere Health Austin Llc 2200 Park Bend Drive, Bldg 3 Austin TX 6 (Dallas) 03/06/2018 0IKH21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0341 Fire Alarm System - Installation Standard
K0712 Fire Drills Standard
K0911 Electrical Systems - Other Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001556 Vivere Health Austin Llc 2200 Park Bend Drive, Bldg 3 Austin TX 6 (Dallas) 01/19/2018 0IKH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
Q0106 EMERGENCY PERSONNEL Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001559 Paris Surgery Center Llc 2905 Pine Mill Road Paris TX 6 (Dallas) 09/26/2018 CIFP11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
▼ 45C0001560 Mountain West Surgery Center Of Mesa Hills Specialty Hospital 3909 N. Mesa Street, Suite 100 El Paso TX 6 (Dallas) 12/20/2018 ZW7M21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0200 Means of Egress Requirements - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0700 Operating Features - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 45C0001561 Surgcenter Of Plano Llc 6101 Windhaven Parkway Suite 195 Plano TX 6 (Dallas) 01/12/2022 CRVJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0500 Building Services - Other Standard
K0700 Operating Features - Other Standard
K0712 Fire Drills Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 45C0001561 Surgcenter Of Plano Llc 6101 Windhaven Parkway Suite 195 Plano TX 6 (Dallas) 09/15/2021 CRVJ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001582 Bear Creek Surgery Center Llc 100 Bourland Rd Keller TX 6 (Dallas) 08/17/2021 SKI311 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 45C0001585 Center For Specialty Surgery Of Austin 8015 Shoal Creek Boulevard,Suite 100 Austin TX 6 (Dallas) 12/03/2018 B5PC11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0110 EMERGENCY PERSONNEL Standard
Q0123 OTHER PRACTITIONERS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 45C0001585 Center For Specialty Surgery Of Austin 8015 Shoal Creek Boulevard,Suite 100 Austin TX 6 (Dallas) 11/13/2018 B5PC21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0911 Electrical Systems - Other Standard