S&C QCOR Hospital 2567s
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Hospital 2567s
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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 Hospital 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 Hospital Subtype Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 05/11/2023 C6BC11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0115 Patient Rights Condition
A0338 Medical Staff Condition
A0385 Nursing Services Condition
A1100 Emergency Services Condition
A0119 Patient Rights: Review Of Grievances Standard
A0131 Patient Rights: Informed Consent Standard
A0144 Patient Rights: Care In Safe Setting Standard
A0160 Patient Rights: Restraint Or Seclusion Standard
A0178 Patient Rights: Restraint Or Seclusion Standard
A0343 Composition Of The Medical Staff Standard
A0353 Medical Staff Bylaws Standard
A0392 Staffing And Delivery Of Care Standard
A0396 Nursing Care Plan Standard
A0454 Content Of Record: Orders Dated & Signed Standard
A0749 Infection Control Program Standard
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 06/22/2021 S9KB11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0043 Governing Body Condition
A0115 Patient Rights Condition
A0118 Patient Rights: Grievances Standard
A0143 Patient Rights: Personal Privacy Standard
A0144 Patient Rights: Care In Safe Setting Standard
A0168 Patient Rights: Restraint Or Seclusion Standard
A0169 Patient Rights: Restraint Or Seclusion Standard
A0178 Patient Rights: Restraint Or Seclusion Standard
A0397 Patient Care Assignments Standard
A0438 Form And Retention Of Records Standard
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 07/09/2019 E27O12 Complaint
Deficiency Tag Deficiency Description Tag Type
A0395 Rn Supervision Of Nursing Care Standard
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 04/16/2019 E27O11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0115 Patient Rights Condition
A0263 Qapi Condition
A0144 Patient Rights: Care In Safe Setting Standard
A0178 Patient Rights: Restraint Or Seclusion Standard
A0179 Patient Rights: Restraint Or Seclusion Standard
A0273 Data Collection & Analysis Standard
A0438 Form And Retention Of Records Standard
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 09/05/2018 W4RL11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0000 Initial Comments - Not A Deficiency Citation Memo
A2400 Compliance With 489.24 Standard
A2404 On Call Physicians Standard
A2406 Medical Screening Exam Standard
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 12/10/2015 LC6C11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0043 Governing Body Condition
A0115 Patient Rights Condition
A0385 Nursing Services Condition
A0431 Medical Record Services Condition
A0395 Rn Supervision Of Nursing Care Standard
A0397 Patient Care Assignments Standard
A0438 Form And Retention Of Records Standard
A0468 Content Of Record: Discharge Summary Standard
▼ 670093 Aspire Hospital Short Term 2006 South Loop 336 West, Suite 500 Conroe TX 6 (Dallas) 11/18/2014 98EM11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0396 Nursing Care Plan Standard
▼ 670096 Bay Area Regional Medical Center, Llc Short Term 200 Blossom Street Webster TX 6 (Dallas) 09/28/2017 DWY811 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0122 Patient Rights: Grievance Review Time Frames Standard
▼ 670096 Bay Area Regional Medical Center, Llc Short Term 200 Blossom Street Webster TX 6 (Dallas) 02/02/2017 S3OK11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0122 Patient Rights: Grievance Review Time Frames Standard
▼ 670097 Baylor Emergency Medical Center Short Term 1975 Alpha Ste 100 Rockwall TX 6 (Dallas) 08/16/2016 20GL11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A1100 Emergency Services Condition
A2409 Appropriate Transfer Standard