S&C QCOR ASC 2567s
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ASCs 2567s
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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
▼ 21C0001563 Oxon Hill Urology Surgery Center 6228 Oxon Hill Road Oxon Hill MD 3 (Philadelphia) 12/09/2021 SG1411 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001563 Oxon Hill Urology Surgery Center 6228 Oxon Hill Road Oxon Hill MD 3 (Philadelphia) 05/30/2018 ED2921 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0911 Electrical Systems - Other Standard
▼ 21C0001563 Oxon Hill Urology Surgery Center 6228 Oxon Hill Road Oxon Hill MD 3 (Philadelphia) 05/10/2018 ED2911 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 21C0001565 Tri County Endoscopy Center-Hollywood 24035 Three Notch Road Hollywood MD 3 (Philadelphia) 07/25/2023 5F997-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
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 21C0001565 Tri County Endoscopy Center-Hollywood 24035 Three Notch Road Hollywood MD 3 (Philadelphia) 08/22/2019 H3EG21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 21C0001565 Tri County Endoscopy Center-Hollywood 24035 Three Notch Road Hollywood MD 3 (Philadelphia) 06/06/2019 H3EG11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0110 EMERGENCY PERSONNEL Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001566 Potomac View Surgery Center, Llc 6710 Oxon Hill Rd, Suite 150 Oxon Hill MD 3 (Philadelphia) 08/06/2024 6371C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0039 EP Testing Requirements Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 21C0001566 Potomac View Surgery Center, Llc 6710 Oxon Hill Rd, Suite 150 Oxon Hill MD 3 (Philadelphia) 06/21/2024 6371C-H1 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
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001566 Potomac View Surgery Center, Llc 6710 Oxon Hill Rd, Suite 150 Oxon Hill MD 3 (Philadelphia) 03/23/2022 5J1L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0300 Protection - Other Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 21C0001566 Potomac View Surgery Center, Llc 6710 Oxon Hill Rd, Suite 150 Oxon Hill MD 3 (Philadelphia) 01/11/2022 5J1L11 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