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
▼ 21C0001384 33rd Street Surgery Center,The 200 E 33rd Street, Suite 631 Baltimore MD 3 (Philadelphia) 03/15/2023 5F4F5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0266 DISCHARGE - ORDER Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 21C0001384 33rd Street Surgery Center,The 200 E 33rd Street, Suite 631 Baltimore MD 3 (Philadelphia) 01/03/2020 P3LU21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
▼ 21C0001384 33rd Street Surgery Center,The 200 E 33rd Street, Suite 631 Baltimore MD 3 (Philadelphia) 10/03/2019 P3LU11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard
▼ 21C0001385 Endoscopy Center Of North Baltimore 1220 East Joppa Road, Ste 508, Bldg C Towson MD 3 (Philadelphia) 10/22/2024 6448F-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
K0300 Protection - Other Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 21C0001385 Endoscopy Center Of North Baltimore 1220 East Joppa Road, Ste 508, Bldg C Towson MD 3 (Philadelphia) 09/26/2024 6448F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001385 Endoscopy Center Of North Baltimore 1220 East Joppa Road, Ste 508, Bldg C Towson MD 3 (Philadelphia) 06/06/2022 JNIE21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 21C0001388 Hickory Ridge Asc 10700 Charter Drive, #301 Columbia MD 3 (Philadelphia) 04/18/2022 H8W021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
▼ 21C0001388 Hickory Ridge Asc 10700 Charter Drive, #301 Columbia MD 3 (Philadelphia) 03/04/2022 H8W011 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001388 Hickory Ridge Asc 10700 Charter Drive, #301 Columbia MD 3 (Philadelphia) 01/02/2019 OUWF11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0104 SAFETY FROM FIRE Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 21C0001389 South River Ambulatory Surgery Center, Llc 3168 Braverton Street, Suite 310 Edgewater MD 3 (Philadelphia) 12/04/2019 2HZB21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0241 Number of Exits - Story and Compartment Standard