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
21C0001361 Surgical Specialty Suites, Inc. 1304 Bellona Avenue Lutherville MD 3 (Philadelphia) 11/19/2019 7WUF21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0311 Vertical Openings - Enclosure Standard
21C0001362 Summit Ambulatory Surgical Center 3801 International Dr, Ste 300 Silver Spring MD 3 (Philadelphia) 08/25/2021 RJZK21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0914 Electrical Systems - Maintenance and Testing Standard
21C0001362 Summit Ambulatory Surgical Center 3801 International Dr, Ste 300 Silver Spring MD 3 (Philadelphia) 03/12/2018 G9P521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0355 Portable Fire Extinguishers Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
21C0001362 Summit Ambulatory Surgical Center 3801 International Dr, Ste 300 Silver Spring MD 3 (Philadelphia) 01/10/2018 G9P511 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
21C0001364 Endoscopy Center At Robinwood 11110 Medical Campus Rd, Suite 248 Hagerstown MD 3 (Philadelphia) 01/24/2023 5E244-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0022 Policies/Procedures for Sheltering in Place Standard
21C0001364 Endoscopy Center At Robinwood 11110 Medical Campus Rd, Suite 248 Hagerstown MD 3 (Philadelphia) 10/27/2022 5E244-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0224 ADVANCED DIRECTIVES Standard
21C0001364 Endoscopy Center At Robinwood 11110 Medical Campus Rd, Suite 248 Hagerstown MD 3 (Philadelphia) 03/22/2019 XLUZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
21C0001367 Kenilworth Surgery Center 1104 Kenilworth Drive Suite 201 Towson MD 3 (Philadelphia) 03/21/2022 5VOK21 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
K0761 Maintenance, Inspection & Testing - Doors Standard
21C0001367 Kenilworth Surgery Center 1104 Kenilworth Drive Suite 201 Towson MD 3 (Philadelphia) 02/16/2022 5VOK11 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
Q0224 ADVANCED DIRECTIVES Standard
Q0266 DISCHARGE - ORDER Standard
21C0001367 Kenilworth Surgery Center 1104 Kenilworth Drive Suite 201 Towson MD 3 (Philadelphia) 09/13/2018 U4PI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard