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
▼ 21C0001281 Surgery Center Of Chevy Chase, Asc 5530 Wisconsin Avenue, Suite 1620 Chevy Chase MD 3 (Philadelphia) 07/20/2022 4F122-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 21C0001281 Surgery Center Of Chevy Chase, Asc 5530 Wisconsin Avenue, Suite 1620 Chevy Chase MD 3 (Philadelphia) 02/28/2019 Q1U321 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0911 Electrical Systems - Other Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 21C0001281 Surgery Center Of Chevy Chase, Asc 5530 Wisconsin Avenue, Suite 1620 Chevy Chase MD 3 (Philadelphia) 01/09/2019 Q1U311 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0231 PRIVACY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001282 Center For Pain Management 11921 Rockville Pike, Suite 505 Rockville MD 3 (Philadelphia) 10/19/2021 MB8R21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 21C0001282 Center For Pain Management 11921 Rockville Pike, Suite 505 Rockville MD 3 (Philadelphia) 09/17/2021 MB8R11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0180 PHARMACEUTICAL SERVICES Condition
Q0002 DEFINITIONS Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0123 OTHER PRACTITIONERS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0201 LABORATORY SERVICES Standard
Q0221 NOTICE OF RIGHTS Standard
▼ 21C0001282 Center For Pain Management 11921 Rockville Pike, Suite 505 Rockville MD 3 (Philadelphia) 03/26/2018 E9ME21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
K0321 Hazardous Areas - Enclosure Standard
K0355 Portable Fire Extinguishers Standard
▼ 21C0001282 Center For Pain Management 11921 Rockville Pike, Suite 505 Rockville MD 3 (Philadelphia) 03/08/2018 E9ME11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 21C0001284 Baltimore Harford Surgical Centers 2 North Avenue Suite 102 Bel Air MD 3 (Philadelphia) 08/15/2023 6060B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 21C0001284 Baltimore Harford Surgical Centers 2 North Avenue Suite 102 Bel Air MD 3 (Philadelphia) 07/13/2023 6060B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001284 Baltimore Harford Surgical Centers 2 North Avenue Suite 102 Bel Air MD 3 (Philadelphia) 02/09/2021 2NBW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard