S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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 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
07C0001025 Eastern Connecticut Endoscopy Center, Llc 79 Wawecus St, Ste 107 Norwich CT 1 (Boston) 03/27/2018 JQA411 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
07C0001027 Ctgi Endoscopy Center, Llc 10 Jolley Dr, Ste 101 Bloomfield CT 1 (Boston) 02/04/2025 65402-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
07C0001027 Ctgi Endoscopy Center, Llc 10 Jolley Dr, Ste 101 Bloomfield CT 1 (Boston) 02/04/2025 65402-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
07C0001027 Ctgi Endoscopy Center, Llc 10 Jolley Dr, Ste 101 Bloomfield CT 1 (Boston) 02/25/2019 P7RB21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0037 EP Training Program Standard
K0711 Evacuation and Relocation Plan Standard
K0712 Fire Drills Standard
07C0001028 Diagnostic Endoscopy, Llc 778 Long Ridge Rd Stamford CT 1 (Boston) 01/20/2022 C03U11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0042 HOSPITALIZATION Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0123 OTHER PRACTITIONERS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
07C0001029 Surgical Center Of Connecticut, Llc 4920 Main Street Bridgeport CT 1 (Boston) 03/05/2024 62590-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0221 NOTICE OF RIGHTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
07C0001029 Surgical Center Of Connecticut, Llc 4920 Main Street Bridgeport CT 1 (Boston) 03/04/2024 62590-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0341 Fire Alarm System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0914 Electrical Systems - Maintenance and Testing Standard
07C0001029 Surgical Center Of Connecticut, Llc 4920 Main Street Bridgeport CT 1 (Boston) 01/30/2020 GYLW11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0123 OTHER PRACTITIONERS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
07C0001029 Surgical Center Of Connecticut, Llc 4920 Main Street Bridgeport CT 1 (Boston) 01/29/2020 GYLW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance and Testing Standard
07C0001030 Constitution Surgery Center East Llc 140 Cross Road Waterford CT 1 (Boston) 03/09/2022 Z8BJ11 Complaint, Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0060 SURGICAL SERVICES Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0123 OTHER PRACTITIONERS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0221 NOTICE OF RIGHTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard