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
21C0001484 Hendi Ambulatory Surgery Center 5454 Wisconsin Avenue Suite 725 Chevy Chase MD 3 (Philadelphia) 02/07/2024 622FA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0182 ADMINISTRATION - ADVERSE REACTIONS Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001484 Hendi Ambulatory Surgery Center 5454 Wisconsin Avenue Suite 725 Chevy Chase MD 3 (Philadelphia) 05/11/2021 Q1BT21 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
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
21C0001484 Hendi Ambulatory Surgery Center 5454 Wisconsin Avenue Suite 725 Chevy Chase MD 3 (Philadelphia) 04/29/2021 Q1BT11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
21C0001485 Box Hill Surgery Center ,Llc 100 Walter Ward Boulevard, Suite 300 Abingdon MD 3 (Philadelphia) 06/26/2023 5F6BA-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
K0211 Means of Egress - General Standard
K0293 Exit Signage Standard
21C0001485 Box Hill Surgery Center ,Llc 100 Walter Ward Boulevard, Suite 300 Abingdon MD 3 (Philadelphia) 11/05/2019 7JIB21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0232 Aisle, Corridor, or Ramp Width Standard
21C0001485 Box Hill Surgery Center ,Llc 100 Walter Ward Boulevard, Suite 300 Abingdon MD 3 (Philadelphia) 10/25/2019 7JIB11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
21C0001486 Quince Orchard Surgery Center 900 Wind River Lane, Suite 106 Gaithersburg MD 3 (Philadelphia) 07/08/2021 IFPL21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
21C0001486 Quince Orchard Surgery Center 900 Wind River Lane, Suite 106 Gaithersburg MD 3 (Philadelphia) 06/03/2021 IFPL11 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
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0266 DISCHARGE - ORDER Standard
21C0001486 Quince Orchard Surgery Center 900 Wind River Lane, Suite 106 Gaithersburg MD 3 (Philadelphia) 03/07/2018 9QB421 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
21C0001486 Quince Orchard Surgery Center 900 Wind River Lane, Suite 106 Gaithersburg MD 3 (Philadelphia) 01/18/2018 9QB411 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 ADMISSION ASSESSMENT Standard
Q0262 PRE-SURGICAL ASSESSMENT Standard