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
▼ 21C0001368 The Rockville/Esc-North Md Endoscopy Asc, Llc 15005 Shady Grove Road Suite 300 Rockville MD 3 (Philadelphia) 02/28/2023 5E9EC-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 21C0001368 The Rockville/Esc-North Md Endoscopy Asc, Llc 15005 Shady Grove Road Suite 300 Rockville MD 3 (Philadelphia) 12/29/2022 5E9EC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0065 PHYSICIAN EVALUATION OF RISK Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 21C0001368 The Rockville/Esc-North Md Endoscopy Asc, Llc 15005 Shady Grove Road Suite 300 Rockville MD 3 (Philadelphia) 08/27/2019 TPM621 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 21C0001369 Lisa Renfro Surgery Center, Llc 2002 Medical Parkway, Suite 630 Annapolis MD 3 (Philadelphia) 03/02/2022 K3G121 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 21C0001369 Lisa Renfro Surgery Center, Llc 2002 Medical Parkway, Suite 630 Annapolis MD 3 (Philadelphia) 01/20/2022 K3G111 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 21C0001369 Lisa Renfro Surgery Center, Llc 2002 Medical Parkway, Suite 630 Annapolis MD 3 (Philadelphia) 06/12/2018 JLI821 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 21C0001369 Lisa Renfro Surgery Center, Llc 2002 Medical Parkway, Suite 630 Annapolis MD 3 (Philadelphia) 05/22/2018 JLI811 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001370 Femi-Care Surgery Center, Llc 1212 York Road Lutherville MD 3 (Philadelphia) 06/14/2022 4ECBD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0355 Portable Fire Extinguishers Standard
▼ 21C0001370 Femi-Care Surgery Center, Llc 1212 York Road Lutherville MD 3 (Philadelphia) 05/02/2022 4ECBD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0120 MEDICAL STAFF Condition
Q0140 NURSING SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0109 EMERGENCY EQUIPMENT Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0123 OTHER PRACTITIONERS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 21C0001370 Femi-Care Surgery Center, Llc 1212 York Road Lutherville MD 3 (Philadelphia) 05/08/2019 BQ4X21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0911 Electrical Systems - Other Standard