S&C QCOR ASC 2567s
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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
▼ 20C0001017 Central Maine Orthopaedics Ambulatory Surgery 690 Minot Ave - Suite 4 Auburn ME 1 (Boston) 09/12/2019 UV6Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 20C0001017 Central Maine Orthopaedics Ambulatory Surgery 690 Minot Ave - Suite 4 Auburn ME 1 (Boston) 09/11/2019 UV6Q21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
▼ 20C0001017 Central Maine Orthopaedics Ambulatory Surgery 690 Minot Ave - Suite 4 Auburn ME 1 (Boston) 03/29/2018 IM9O21 Complaint
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0222 Egress Doors Standard
K0223 Doors with Self-Closing Devices Standard
▼ 20C0001020 Coastal Eye Surgery Center 128 Bucksport Rd Suite A Ellsworth ME 1 (Boston) 08/06/2025 1D25D1-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0037 EP Training Program Standard
K0131 Multiple Occupancies Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 20C0001021 Bangor Eye Surgery, Pa 900 A Hammond Street Bangor ME 1 (Boston) 09/16/2025 1D6896-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
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
E0026 Roles Under a Waiver Declared by Secretary Standard
E0029 Development of Communication Plan Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
K0712 Fire Drills Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
▼ 20C0001021 Bangor Eye Surgery, Pa 900 A Hammond Street Bangor ME 1 (Boston) 08/21/2019 P8QJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0355 Portable Fire Extinguishers Standard
▼ 21C0001003 St. Agnes Surgery Center Of Ellicott City, Lllp 2850 North Ridge Road Ellicott City MD 3 (Philadelphia) 08/07/2023 601BE-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 21C0001003 St. Agnes Surgery Center Of Ellicott City, Lllp 2850 North Ridge Road Ellicott City MD 3 (Philadelphia) 06/08/2023 601BE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 21C0001003 St. Agnes Surgery Center Of Ellicott City, Lllp 2850 North Ridge Road Ellicott City MD 3 (Philadelphia) 04/09/2021 5PI911 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001003 St. Agnes Surgery Center Of Ellicott City, Lllp 2850 North Ridge Road Ellicott City MD 3 (Philadelphia) 03/09/2021 Y2ZH21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard