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
▼ 07C0001042 Middlesex Endoscopy Center 410 Saybrook Road, Suite 200 Middletown CT 1 (Boston) 11/06/2018 07YM11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 07C0001044 Wilton Surgery Center, Llc 195 Danbury Road Wilton CT 1 (Boston) 07/09/2025 6674E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 07C0001044 Wilton Surgery Center, Llc 195 Danbury Road Wilton CT 1 (Boston) 11/10/2021 F0TU11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0232 SAFETY Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 07C0001045 Central Connecticut Endoscopy Center, Llc 440 New Britain Avenue Plainville CT 1 (Boston) 04/20/2022 X3YI11 Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 07C0001047 Endoscopy Center Of Connecticut, Llc 1591 Boston Post Road Guilford CT 1 (Boston) 05/01/2023 5FAF5-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0123 OTHER PRACTITIONERS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 07C0001048 North Haven Surgery Center, Llc 52 Washington Avene, Suite A North North Haven CT 1 (Boston) 10/10/2024 645FC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0123 OTHER PRACTITIONERS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 07C0001048 North Haven Surgery Center, Llc 52 Washington Avene, Suite A North North Haven CT 1 (Boston) 03/27/2019 8HYI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0160 MEDICAL RECORDS Condition
Q0200 LABORATORY AND RADIOLOGIC SERVICES Condition
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 07C0001050 Saint Francis Gi Endoscopy, Llc 360 Bloomfield Avenue, Suite 204 Windsor CT 1 (Boston) 08/09/2023 60ACA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 07C0001050 Saint Francis Gi Endoscopy, Llc 360 Bloomfield Avenue, Suite 204 Windsor CT 1 (Boston) 02/21/2018 RJXZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0105 EMERGENCY EQUIPMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0220 NOTICE - POSTING Standard
Q0261 ADMISSION ASSESSMENT Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard
▼ 07C0001052 Evergreen Endoscopy Center Llc 2400 Tamarack Avenue South Windsor CT 1 (Boston) 05/24/2023 5FDDD-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard