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
21C0001480 Laplata Ambulatory Urological Center 101 Centennial Street, Suite E La Plata MD 3 (Philadelphia) 10/14/2021 4T8611 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001480 Laplata Ambulatory Urological Center 101 Centennial Street, Suite E La Plata MD 3 (Philadelphia) 05/02/2018 I5MN11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001482 Bergman Eye Surgery Center Llc 220 Champion Drive, Suite 101 Hagerstown MD 3 (Philadelphia) 01/22/2024 617FD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
21C0001482 Bergman Eye Surgery Center Llc 220 Champion Drive, Suite 101 Hagerstown MD 3 (Philadelphia) 05/17/2021 DNGI21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
21C0001482 Bergman Eye Surgery Center Llc 220 Champion Drive, Suite 101 Hagerstown MD 3 (Philadelphia) 02/28/2020 0ES811 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0266 DISCHARGE - ORDER Standard
21C0001483 Surgicenter Of Bel Air 209 Thomas Street Bel Air MD 3 (Philadelphia) 02/08/2024 61E2B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
21C0001483 Surgicenter Of Bel Air 209 Thomas Street Bel Air MD 3 (Philadelphia) 01/04/2024 61E2B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001483 Surgicenter Of Bel Air 209 Thomas Street Bel Air MD 3 (Philadelphia) 02/06/2020 4XS521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
21C0001483 Surgicenter Of Bel Air 209 Thomas Street Bel Air MD 3 (Philadelphia) 01/28/2020 4XS511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
21C0001484 Hendi Ambulatory Surgery Center 5454 Wisconsin Avenue Suite 725 Chevy Chase MD 3 (Philadelphia) 04/25/2024 622FA-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0300 Protection - Other Standard
K0761 Maintenance, Inspection & Testing - Doors Standard