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
21C0001092 Harford County Ambulatory Surgical Ctr 1952 Pulaski Highway Edgewood MD 3 (Philadelphia) 02/24/2021 7K9W21 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
21C0001092 Harford County Ambulatory Surgical Ctr 1952 Pulaski Highway Edgewood MD 3 (Philadelphia) 02/11/2021 7K9W11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
21C0001093 Four Corners Asc, Llc 10101 Lorain Avenue Silver Spring MD 3 (Philadelphia) 04/27/2023 5FBC2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard
21C0001093 Four Corners Asc, Llc 10101 Lorain Avenue Silver Spring MD 3 (Philadelphia) 01/22/2020 I8Z121 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0293 Exit Signage Standard
K0781 Portable Space Heaters Standard
21C0001093 Four Corners Asc, Llc 10101 Lorain Avenue Silver Spring MD 3 (Philadelphia) 12/11/2019 I8Z111 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
21C0001099 The Laurel Md Endoscopy Asc, Llc 7350 Van Dusen Road, Suite 230 Laurel MD 3 (Philadelphia) 07/10/2023 5FC99-L1 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
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
21C0001099 The Laurel Md Endoscopy Asc, Llc 7350 Van Dusen Road, Suite 230 Laurel MD 3 (Philadelphia) 05/10/2023 5FC99-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
21C0001129 Maple Springs Podiatric Surgery Inc 10810 Darnestown Road, Suite 101 Gaithersburg MD 3 (Philadelphia) 06/27/2023 5F825-L1 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
E0039 EP Testing Requirements Standard
K0291 Emergency Lighting Standard
21C0001129 Maple Springs Podiatric Surgery Inc 10810 Darnestown Road, Suite 101 Gaithersburg MD 3 (Philadelphia) 04/07/2023 5F825-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0002 DEFINITIONS Standard
Q0063 ADMINISTRATION OF ANESTHESIA Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0123 OTHER PRACTITIONERS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
21C0001129 Maple Springs Podiatric Surgery Inc 10810 Darnestown Road, Suite 101 Gaithersburg MD 3 (Philadelphia) 10/08/2020 EWZ021 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
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard