| CMS Certification Number |
Facility Name |
Address |
City |
State |
CMS Region |
Date of CMS Survey |
Survey Event ID |
Survey Type |
Statement of Deficiencies Report |
|
▼
08C0001019
|
Mid-Atlantic Endoscopy Center, Llc |
4923 Ogletown-Stanton Road Suite 100 |
Newark |
DE |
3 (Philadelphia) |
07/25/2023 |
608ED-H1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| E0009 |
Local, State, Tribal Collaboration Process |
Standard |
|
| Q0101 |
PHYSICAL ENVIRONMENT |
Standard |
|
| Q0162 |
FORM AND CONTENT OF RECORD |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
|
|
▼
08C0001021
|
Minimally Invasive Surgical And Neuroscience Ctr, Llc |
774 Christiana Road Suite 2 |
Newark |
DE |
3 (Philadelphia) |
07/24/2023 |
607DF-L1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| K0131 |
Multiple Occupancies |
Standard |
|
|
|
▼
08C0001021
|
Minimally Invasive Surgical And Neuroscience Ctr, Llc |
774 Christiana Road Suite 2 |
Newark |
DE |
3 (Philadelphia) |
07/19/2023 |
607DF-H1 |
Complaint, Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0042 |
HOSPITALIZATION |
Standard |
|
| Q0101 |
PHYSICAL ENVIRONMENT |
Standard |
|
| Q0109 |
EMERGENCY EQUIPMENT |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0225 |
SUBMISSION AND INVESTIGATION OF GRIEVANCES |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
|
|
▼
08C0001021
|
Minimally Invasive Surgical And Neuroscience Ctr, Llc |
774 Christiana Road Suite 2 |
Newark |
DE |
3 (Philadelphia) |
06/21/2018 |
LV3X11 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| E0039 |
EP Testing Requirements |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0203 |
RADIOLOGIC SERVICES |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0261 |
ADMISSION ASSESSMENT |
Standard |
|
| Q0262 |
PRE-SURGICAL ASSESSMENT |
Standard |
|
| Q0267 |
DISCHARGE WITH RESPONSIBLE ADULT |
Standard |
|
|
|
▼
08C0001021
|
Minimally Invasive Surgical And Neuroscience Ctr, Llc |
774 Christiana Road Suite 2 |
Newark |
DE |
3 (Philadelphia) |
06/21/2018 |
LV3X21 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| K0131 |
Multiple Occupancies |
Standard |
|
| K0500 |
Building Services - Other |
Standard |
|
|
|
▼
08C0001023
|
C & S Medical, Llc D/B/A Delaware Surgical Arts |
537 Stanton-Christiana Road Suite 109 |
Newark |
DE |
3 (Philadelphia) |
02/19/2025 |
656FB-H1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| E0001 |
Establishment of the Emergency Program (EP) |
Condition |
|
| Q0040 |
GOVERNING BODY AND MANAGEMENT |
Condition |
|
| Q0100 |
ENVIRONMENT |
Condition |
|
| Q0219 |
PATIENT RIGHTS |
Condition |
|
| Q0240 |
INFECTION CONTROL |
Condition |
|
| E0018 |
Procedures for Tracking of Staff and Patients |
Standard |
|
| E0022 |
Policies/Procedures for Sheltering in Place |
Standard |
|
| E0023 |
Policies/Procedures for Medical Documentation |
Standard |
|
| E0024 |
Policies/Procedures-Volunteers and Staffing |
Standard |
|
| E0037 |
EP Training Program |
Standard |
|
| Q0041 |
CONTRACT SERVICES |
Standard |
|
| Q0042 |
HOSPITALIZATION |
Standard |
|
| Q0081 |
PROGRAM SCOPE; PROGRAM ACTIVITIES |
Standard |
|
| Q0101 |
PHYSICAL ENVIRONMENT |
Standard |
|
| Q0109 |
EMERGENCY EQUIPMENT |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0224 |
ADVANCED DIRECTIVES |
Standard |
|
| Q0225 |
SUBMISSION AND INVESTIGATION OF GRIEVANCES |
Standard |
|
| Q0232 |
SAFETY |
Standard |
|
| Q0234 |
CONFIDENTIALITY OF CLINICAL RECORDS |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0243 |
INFECTION CONTROL PROGRAM - DIRECTION |
Standard |
|
| Q0245 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0262 |
ADMISSION AND PRE-SURGICAL ASSESSMENT |
Standard |
|
| Q0266 |
DISCHARGE - ORDER |
Standard |
|
| Q0267 |
DISCHARGE WITH RESPONSIBLE ADULT |
Standard |
|
|
|
▼
08C0001023
|
C & S Medical, Llc D/B/A Delaware Surgical Arts |
537 Stanton-Christiana Road Suite 109 |
Newark |
DE |
3 (Philadelphia) |
07/31/2019 |
L0YC11 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0180 |
PHARMACEUTICAL SERVICES |
Condition |
|
| Q0061 |
ANESTHETIC RISK AND EVALUATION |
Standard |
|
| Q0101 |
PHYSICAL ENVIRONMENT |
Standard |
|
| Q0162 |
FORM AND CONTENT OF RECORD |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0220 |
NOTICE - POSTING |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0262 |
ADMISSION AND PRE-SURGICAL ASSESSMENT |
Standard |
|
| Q0264 |
POST-SURGICAL ASSESSMENT |
Standard |
|
| Q0265 |
DISCHARGE - SUPPLIES AND INFORMATION |
Standard |
|
|
|
▼
08C0001024
|
Orthopaedic Specialists Surgi-Center, Llc |
1096 Old Churchmans Road |
Newark |
DE |
3 (Philadelphia) |
02/12/2025 |
656FA-H1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0040 |
GOVERNING BODY AND MANAGEMENT |
Condition |
|
| Q0219 |
PATIENT RIGHTS |
Condition |
|
| E0031 |
Emergency Officials Contact Information |
Standard |
|
| Q0162 |
FORM AND CONTENT OF RECORD |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0223 |
NOTICE - PHYSICIAN OWNERSHIP |
Standard |
|
| Q0224 |
ADVANCED DIRECTIVES |
Standard |
|
| Q0225 |
SUBMISSION AND INVESTIGATION OF GRIEVANCES |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0245 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0266 |
DISCHARGE - ORDER |
Standard |
|
| Q0267 |
DISCHARGE WITH RESPONSIBLE ADULT |
Standard |
|
|
|
▼
08C0001026
|
Rockland Surgery Center, L.L.P., D/B/A Center For Advanced Surgical Arts |
2710 Centerville Road, Suite 100 |
Wilmington |
DE |
3 (Philadelphia) |
05/21/2019 |
3N3D11 |
Recertification, Sample Validation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0180 |
PHARMACEUTICAL SERVICES |
Condition |
|
| Q0162 |
FORM AND CONTENT OF RECORD |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0222 |
NOTICE OF RIGHTS - POSTING |
Standard |
|
| Q0232 |
SAFETY |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
|
|
▼
08C0001026
|
Rockland Surgery Center, L.L.P., D/B/A Center For Advanced Surgical Arts |
2710 Centerville Road, Suite 100 |
Wilmington |
DE |
3 (Philadelphia) |
05/21/2019 |
3N3D21 |
Recertification, Sample Validation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| K0211 |
Means of Egress - General |
Standard |
|
| K0321 |
Hazardous Areas - Enclosure |
Standard |
|
|