The ASPS mandates that its members perform surgery that is performed under general anesthesia be performed in an accredited facility. So, that is what I do. Some surgeons choose to not comply with those guidelines and do surgery under general anesthesia in their offices in a non-accredited operating room/facility. There are also non-plastic surgeons who perform plastic/cosmetic surgery in their own facilities that may or may not be accredited because no accredited facility will give them privileges to do those procedures given the fact that they were never formally trained to perform those procedures and are not board certified in plastic surgery.
Not only is our neighbor Middle Tennessee Medical Center accredited by the Joint Commission, but so is the surgery center downstairs from my office (Middle Tenn Ambulatory Surgery Center).