S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

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
21C0001501 Luxxery Corporation Of Maryland 3010 Crain Highway, Suite 400 Waldorf MD 3 (Philadelphia) 04/14/2021 YJ9Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
21C0001502 Prince Frederick Surgery Center 70 Sherry Lane, Suite 101 Prince Frederick MD 3 (Philadelphia) 09/10/2024 63EEE-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
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
21C0001502 Prince Frederick Surgery Center 70 Sherry Lane, Suite 101 Prince Frederick MD 3 (Philadelphia) 08/15/2024 63EEE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
21C0001502 Prince Frederick Surgery Center 70 Sherry Lane, Suite 101 Prince Frederick MD 3 (Philadelphia) 08/30/2022 4F5C9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
21C0001502 Prince Frederick Surgery Center 70 Sherry Lane, Suite 101 Prince Frederick MD 3 (Philadelphia) 04/08/2021 4U5221 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
21C0001502 Prince Frederick Surgery Center 70 Sherry Lane, Suite 101 Prince Frederick MD 3 (Philadelphia) 03/08/2021 4U5211 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
21C0001507 Newbridge Surgery Center At Frederick 196 Thomas Johnson Drive, Suite 215 Frederick MD 3 (Philadelphia) 11/18/2019 NKYE11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001507 Newbridge Surgery Center At Frederick 196 Thomas Johnson Drive, Suite 215 Frederick MD 3 (Philadelphia) 10/30/2019 NKYE21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
K0342 Fire Alarm System - Initiation Standard
K0343 Fire Alarm System - Notification Standard
K0522 HVAC - Any Heating Device Standard
21C0001507 Newbridge Surgery Center At Frederick 196 Thomas Johnson Drive, Suite 215 Frederick MD 3 (Philadelphia) 04/10/2018 G6CU11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
21C0001508 Piccard Surgery Center Llc 1330 Piccard Drive Suite 102 Rockville MD 3 (Philadelphia) 04/20/2023 5F986-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard