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
21C0001469 Skin Cancer Treatment Center 5530 Wisconsin Avenue, Suite 820 Chevy Chase MD 3 (Philadelphia) 07/02/2024 628D8-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
21C0001469 Skin Cancer Treatment Center 5530 Wisconsin Avenue, Suite 820 Chevy Chase MD 3 (Philadelphia) 03/18/2024 628D8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
21C0001469 Skin Cancer Treatment Center 5530 Wisconsin Avenue, Suite 820 Chevy Chase MD 3 (Philadelphia) 11/29/2021 OC2M21 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
K0355 Portable Fire Extinguishers Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
21C0001469 Skin Cancer Treatment Center 5530 Wisconsin Avenue, Suite 820 Chevy Chase MD 3 (Philadelphia) 11/03/2021 OC2M11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0140 NURSING SERVICES Condition
Q0102 SEPARATION Standard
Q0141 ORGANIZATION AND STAFFING Standard
21C0001469 Skin Cancer Treatment Center 5530 Wisconsin Avenue, Suite 820 Chevy Chase MD 3 (Philadelphia) 05/08/2018 K5JP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001470 9106 Philadelphia Road Asc 9106 Philadelphia Road, Suite 306 Baltimore MD 3 (Philadelphia) 08/29/2023 5FA90-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
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
21C0001470 9106 Philadelphia Road Asc 9106 Philadelphia Road, Suite 306 Baltimore MD 3 (Philadelphia) 04/27/2023 5FA90-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
21C0001470 9106 Philadelphia Road Asc 9106 Philadelphia Road, Suite 306 Baltimore MD 3 (Philadelphia) 12/20/2019 U7C721 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
21C0001470 9106 Philadelphia Road Asc 9106 Philadelphia Road, Suite 306 Baltimore MD 3 (Philadelphia) 12/03/2019 U7C711 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
21C0001476 Surgcenter Of Glen Burnie, Llc 308 Hospital Drive, Suite 102 Glen Burnie MD 3 (Philadelphia) 03/30/2023 5F235-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance and Testing Standard