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
▼ 21C0001402 Mechanicsville Asc, Llc 28227 Three Notch Road Mechanicsville MD 3 (Philadelphia) 08/04/2021 XX3U21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0511 Utilities - Gas and Electric Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 21C0001402 Mechanicsville Asc, Llc 28227 Three Notch Road Mechanicsville MD 3 (Philadelphia) 07/01/2021 XX3U11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 21C0001403 Baltimore Eye Surgical Ctr 6231 North Charles Street Baltimore MD 3 (Philadelphia) 07/07/2022 4EAD6-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
▼ 21C0001403 Baltimore Eye Surgical Ctr 6231 North Charles Street Baltimore MD 3 (Philadelphia) 05/11/2022 4EAD6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001404 Surgery Center Of Potomac 3203 Tower Oaks Blvd, Ste 100 Rockville MD 3 (Philadelphia) 11/07/2023 61772-H1 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
▼ 21C0001404 Surgery Center Of Potomac 3203 Tower Oaks Blvd, Ste 100 Rockville MD 3 (Philadelphia) 07/15/2021 4FG621 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 21C0001404 Surgery Center Of Potomac 3203 Tower Oaks Blvd, Ste 100 Rockville MD 3 (Philadelphia) 06/07/2021 4FG611 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
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0042 HOSPITALIZATION Standard
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001404 Surgery Center Of Potomac 3203 Tower Oaks Blvd, Ste 100 Rockville MD 3 (Philadelphia) 01/25/2018 6ONO21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 21C0001406 Rockville Eye Surgery Center, Llc 4831 Cordell Avenue Bethesda MD 3 (Philadelphia) 07/06/2023 5FBE5-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
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 21C0001406 Rockville Eye Surgery Center, Llc 4831 Cordell Avenue Bethesda MD 3 (Philadelphia) 05/08/2023 5FBE5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard