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
▼ 21C0001291 Private Surgical Suite 5530 Wisconsin Ave Suite 1455 Chevy Chase MD 3 (Philadelphia) 12/10/2018 IPTZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
▼ 21C0001292 Advanced Center For Plastic Surgery Ll 12205-07 Tullamore Road Timonium MD 3 (Philadelphia) 01/23/2023 5E649-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
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0924 Electrical Equipment ? Wet Procedure Locations Standard
▼ 21C0001292 Advanced Center For Plastic Surgery Ll 12205-07 Tullamore Road Timonium MD 3 (Philadelphia) 11/30/2022 5E649-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 21C0001292 Advanced Center For Plastic Surgery Ll 12205-07 Tullamore Road Timonium MD 3 (Philadelphia) 07/30/2019 TW0G21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0355 Portable Fire Extinguishers Standard
▼ 21C0001292 Advanced Center For Plastic Surgery Ll 12205-07 Tullamore Road Timonium MD 3 (Philadelphia) 05/23/2019 TW0G11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0060 SURGICAL SERVICES Condition
Q0100 ENVIRONMENT Condition
Q0120 MEDICAL STAFF Condition
Q0160 MEDICAL RECORDS Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001296 Maryland Aesthetic & Reconstructive Asc 8415 Bellona Lane Suite 212 Baltimore MD 3 (Philadelphia) 01/18/2024 61FA0-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
▼ 21C0001296 Maryland Aesthetic & Reconstructive Asc 8415 Bellona Lane Suite 212 Baltimore MD 3 (Philadelphia) 01/16/2024 61FA0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
▼ 21C0001296 Maryland Aesthetic & Reconstructive Asc 8415 Bellona Lane Suite 212 Baltimore MD 3 (Philadelphia) 03/06/2018 8FQU11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 ADMISSION ASSESSMENT Standard
▼ 21C0001297 Summit Ambulatory Surgical Center, Llc 3333 North Calvert Street, Suite 600 Baltimore MD 3 (Philadelphia) 03/22/2023 5F20E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
▼ 21C0001297 Summit Ambulatory Surgical Center, Llc 3333 North Calvert Street, Suite 600 Baltimore MD 3 (Philadelphia) 10/02/2019 I21L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0311 Vertical Openings - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0781 Portable Space Heaters Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard