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
▼ 07C0001052 Evergreen Endoscopy Center Llc 2400 Tamarack Avenue South Windsor CT 1 (Boston) 05/24/2023 5FDDD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 07C0001052 Evergreen Endoscopy Center Llc 2400 Tamarack Avenue South Windsor CT 1 (Boston) 04/23/2018 RU8P11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0204 RADIOLOGIC SERVICES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 07C0001053 Glastonbury Endoscopy Center, Llc 300 Western Blvd, Bldg D, Suite 100 Glastonbury CT 1 (Boston) 02/25/2025 6569D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
▼ 07C0001053 Glastonbury Endoscopy Center, Llc 300 Western Blvd, Bldg D, Suite 100 Glastonbury CT 1 (Boston) 07/10/2019 E18511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 07C0001053 Glastonbury Endoscopy Center, Llc 300 Western Blvd, Bldg D, Suite 100 Glastonbury CT 1 (Boston) 07/10/2019 E18521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 07C0001054 Digestive Disease Associates 687 Main Street Branford CT 1 (Boston) 03/16/2022 2TIS11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0123 OTHER PRACTITIONERS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0221 NOTICE OF RIGHTS Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 07C0001055 Glastonbury Surgery Center 195 Eastern Blvd Glastonbury CT 1 (Boston) 01/22/2021 UC1R11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 07C0001056 Middlesex Center For Advanced Orthopedic Surgery, Llc 510 Saybrook Road Middletown CT 1 (Boston) 10/26/2022 5E1E7-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 07C0001056 Middlesex Center For Advanced Orthopedic Surgery, Llc 510 Saybrook Road Middletown CT 1 (Boston) 02/25/2020 84LT11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0063 ADMINISTRATION OF ANESTHESIA Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 07C0001056 Middlesex Center For Advanced Orthopedic Surgery, Llc 510 Saybrook Road Middletown CT 1 (Boston) 02/25/2020 84LT21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
K0341 Fire Alarm System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard