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
21C0001518 Maryland Spine And Sports Surgi-Center 5005 Signal Bell Lane, Suite 207 Clarksville MD 3 (Philadelphia) 06/01/2023 5F83D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
21C0001518 Maryland Spine And Sports Surgi-Center 5005 Signal Bell Lane, Suite 207 Clarksville MD 3 (Philadelphia) 12/19/2019 WHL311 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0181 ADMINISTRATION OF DRUGS Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
21C0001519 Surgcenter Of White Marsh 11605 Crossroads Circle Suite A-C Baltimore MD 3 (Philadelphia) 01/28/2020 YSMI21 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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
21C0001519 Surgcenter Of White Marsh 11605 Crossroads Circle Suite A-C Baltimore MD 3 (Philadelphia) 01/10/2020 YSMI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001521 Surgcenter Of Western Maryland, Llc 12252 Williams Road Se, Suite 103 Cumberland MD 3 (Philadelphia) 04/26/2019 GYC911 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
21C0001523 Advanced Pain Management, Llc 11637 Terrace Dr Ste 101 Waldorf MD 3 (Philadelphia) 04/05/2018 CTZM11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0140 NURSING SERVICES Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
21C0001524 Leonardtown Surgery Center, Llc 40900 Merchants Lane, Suite 200 Leonardtown MD 3 (Philadelphia) 01/19/2024 6202D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
21C0001524 Leonardtown Surgery Center, Llc 40900 Merchants Lane, Suite 200 Leonardtown MD 3 (Philadelphia) 10/04/2023 60B46-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
21C0001524 Leonardtown Surgery Center, Llc 40900 Merchants Lane, Suite 200 Leonardtown MD 3 (Philadelphia) 11/13/2019 1N9821 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
21C0001524 Leonardtown Surgery Center, Llc 40900 Merchants Lane, Suite 200 Leonardtown MD 3 (Philadelphia) 10/18/2019 1N9811 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard