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
▼ 50C0001294 Sight Partners Llc 1306 Roosevelt Avenue Mount Vernon WA 10 (Seattle) 12/19/2023 6166D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0034 Information on Occupancy/Needs Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 50C0001294 Sight Partners Llc 1306 Roosevelt Avenue Mount Vernon WA 10 (Seattle) 12/19/2023 6166D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 50C0001294 Sight Partners Llc 1306 Roosevelt Avenue Mount Vernon WA 10 (Seattle) 10/24/2023 60F76-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0140 NURSING SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0062 ANESTHETIC - DISCHARGE Standard
Q0110 EMERGENCY PERSONNEL Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 50C0001295 Pacific Cataract & Laser Institute 7730 Britton Pkwy Ne Lacey WA 10 (Seattle) 08/24/2024 63F45-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard
Q0184 VERBAL ORDERS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 50C0001295 Pacific Cataract & Laser Institute 7730 Britton Pkwy Ne Lacey WA 10 (Seattle) 08/21/2024 63F45-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
▼ 50C0001298 Ear, Nose, Throat, Facial Plastic Surgery And Allergy Of Western Wa , Inc, Ps 1427 Jefferson Avenue, Suite 101 Enumclaw WA 10 (Seattle) 09/29/2020 4REF11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 50C0001298 Ear, Nose, Throat, Facial Plastic Surgery And Allergy Of Western Wa , Inc, Ps 1427 Jefferson Avenue, Suite 101 Enumclaw WA 10 (Seattle) 06/21/2018 R9I621 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0712 Fire Drills Standard
▼ 50C0001300 Eastside Endoscopy Center, Pllc 1301 4th Ave Nw Ste 301 Issaquah WA 10 (Seattle) 03/07/2024 623CD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0023 Policies/Procedures for Medical Documentation Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0233 SAFETY - ABUSE/HARASSMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 50C0001300 Eastside Endoscopy Center, Pllc 1301 4th Ave Nw Ste 301 Issaquah WA 10 (Seattle) 03/07/2024 623CD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0711 Evacuation and Relocation Plan Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
▼ 50C0001300 Eastside Endoscopy Center, Pllc 1301 4th Ave Nw Ste 301 Issaquah WA 10 (Seattle) 01/28/2019 4IYX11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard