S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 50C0001291 Harbor Plastic Surgery Center Pllc 11511 Canterwood Boulevard Nw, Suite 310 Gig Harbor WA 10 (Seattle) 07/16/2024 638B6-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0521 HVAC Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
K0926 Gas Equipment - Qualifications and Training Standard
▼ 50C0001292 Advanced Endoscopy Center, Pllc 2415 Ne 134th Street, Suite 205 Vancouver WA 10 (Seattle) 04/16/2026 1F30F1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0104 SAFETY FROM FIRE Standard
▼ 50C0001292 Advanced Endoscopy Center, Pllc 2415 Ne 134th Street, Suite 205 Vancouver WA 10 (Seattle) 04/15/2026 1F30F1-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0511 Utilities - Gas and Electric Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 50C0001292 Advanced Endoscopy Center, Pllc 2415 Ne 134th Street, Suite 205 Vancouver WA 10 (Seattle) 01/17/2023 5E96D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0018 Procedures for Tracking of Staff and Patients Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
Q0002 DEFINITIONS Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 50C0001292 Advanced Endoscopy Center, Pllc 2415 Ne 134th Street, Suite 205 Vancouver WA 10 (Seattle) 01/17/2023 5E96D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0531 Elevators Standard
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
▼ 50C0001292 Advanced Endoscopy Center, Pllc 2415 Ne 134th Street, Suite 205 Vancouver WA 10 (Seattle) 12/26/2018 BNUZ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0223 Doors with Self-Closing Devices Standard
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0511 Utilities - Gas and Electric Standard
K0521 HVAC Standard
K0531 Elevators Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0926 Gas Equipment - Qualifications and Training Standard
▼ 50C0001293 South Sound Surgery, Pllc 101 2nd Street Ne Auburn WA 10 (Seattle) 01/09/2025 64DBA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 50C0001293 South Sound Surgery, Pllc 101 2nd Street Ne Auburn WA 10 (Seattle) 01/09/2025 64DBA-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 50C0001293 South Sound Surgery, Pllc 101 2nd Street Ne Auburn WA 10 (Seattle) 07/28/2022 4EB1B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0060 SURGICAL SERVICES Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 50C0001293 South Sound Surgery, Pllc 101 2nd Street Ne Auburn WA 10 (Seattle) 07/28/2022 4EB1B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0342 Fire Alarm System - Initiation Standard
K0355 Portable Fire Extinguishers Standard
K0711 Evacuation and Relocation Plan Standard
K0712 Fire Drills Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
K0926 Gas Equipment - Qualifications and Training Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard