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
▼ 21C0001216 Beltsville Ambulatory Surgery Center 10720 Baltimore Avenue Beltsville MD 3 (Philadelphia) 08/16/2018 N9TV21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0281 Illumination of Means of Egress Standard
▼ 21C0001219 Slade Llc Asc 10 Crossroads Drive, Ste 104 Owings Mills MD 3 (Philadelphia) 03/04/2021 VPTO21 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
▼ 21C0001219 Slade Llc Asc 10 Crossroads Drive, Ste 104 Owings Mills MD 3 (Philadelphia) 02/04/2021 VPTO11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard
▼ 21C0001224 Antietam Urosurgical Center Llc Asc 11110 Medical Campus Drive #228 Hagerstown MD 3 (Philadelphia) 05/31/2023 5FBC3-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 21C0001224 Antietam Urosurgical Center Llc Asc 11110 Medical Campus Drive #228 Hagerstown MD 3 (Philadelphia) 05/03/2023 5FBC3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001224 Antietam Urosurgical Center Llc Asc 11110 Medical Campus Drive #228 Hagerstown MD 3 (Philadelphia) 03/04/2020 2I6P21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
▼ 21C0001224 Antietam Urosurgical Center Llc Asc 11110 Medical Campus Drive #228 Hagerstown MD 3 (Philadelphia) 02/25/2020 2I6P11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001225 Certified Ambulatory Surgery Center 9715 Medical Center Drive #535 Rockville MD 3 (Philadelphia) 02/16/2018 3NEI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0105 EMERGENCY EQUIPMENT Standard
Q0106 EMERGENCY PERSONNEL Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
▼ 21C0001226 The Silver Spring Md Endoscopy Asc, Llc 10801 Lockwood Drive, Suite 110 Silver Spring MD 3 (Philadelphia) 09/24/2021 S3BJ21 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
K0511 Utilities - Gas and Electric Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 21C0001226 The Silver Spring Md Endoscopy Asc, Llc 10801 Lockwood Drive, Suite 110 Silver Spring MD 3 (Philadelphia) 03/15/2018 UNSH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard