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
▼ 45C0001647 Memorial Houston Surgery Center Llc 9230 Katy Fwy, Ste 601 Houston TX 6 (Dallas) 01/18/2023 5EBCD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 45C0001657 Baylor Surgicare At Blue Star Llc 3800 Gaylord Parkway Suite 410 Frisco TX 6 (Dallas) 07/29/2021 RC9911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001663 St. Davids Austin Area Asc, Llc 12200 Renfert Way, Suite G-2 Austin TX 6 (Dallas) 01/29/2019 QJVG11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 45C0001666 Pinnacle Surgery Center Of Austin 911 West 38th Street Suite 400 Austin TX 6 (Dallas) 07/27/2023 608DE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0063 ADMINISTRATION OF ANESTHESIA Standard
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 45C0001666 Pinnacle Surgery Center Of Austin 911 West 38th Street Suite 400 Austin TX 6 (Dallas) 07/26/2023 608DE-L1 Complaint
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0342 Fire Alarm System - Initiation Standard
K0521 HVAC Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0911 Electrical Systems - Other Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 45C0001670 Apc- Amarillo Surgical Operating Company, Llc 1901 Medi-Park Building C., Suite 1 Amarillo TX 6 (Dallas) 05/12/2026 233858-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0219 PATIENT RIGHTS Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0232 SAFETY Standard
▼ 45C0001673 Humble Vascular Surgical Center Llc 8411 Fm 1960 Bypass Rd W, Ste A Humble TX 6 (Dallas) 12/13/2023 61712-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
▼ 45C0001700 Texas Midwest Endoscopy Center Llc 14 Hospital Drive Suite B Abilene TX 6 (Dallas) 09/08/2020 DQ5B11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
▼ 45C0001705 Memorial Ambulatory Surgery Center, Llc 8731 Katy Fwy, Ste 400 Houston TX 6 (Dallas) 07/18/2024 63A8A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 45C0001708 Gateway Surgical Center Llc 3215 Gateway Blvd West Ste, 210 El Paso TX 6 (Dallas) 10/13/2023 61424-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0180 PHARMACEUTICAL SERVICES Condition
Q0181 ADMINISTRATION OF DRUGS Standard