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
21C0001574 Innovative Surgery Center, Llc 253 Lewis Lane, Suite 301 Havre De Grace MD 3 (Philadelphia) 05/06/2021 CT5G21 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
21C0001574 Innovative Surgery Center, Llc 253 Lewis Lane, Suite 301 Havre De Grace MD 3 (Philadelphia) 03/12/2018 CLPR21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0200 Means of Egress Requirements - Other Standard
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
21C0001575 Surgcenter Of The Potomac, Llc 6500 Rock Spring Drive, Suite 100 Bethesda MD 3 (Philadelphia) 09/21/2022 4F47A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0914 Electrical Systems - Maintenance and Testing Standard
21C0001575 Surgcenter Of The Potomac, Llc 6500 Rock Spring Drive, Suite 100 Bethesda MD 3 (Philadelphia) 08/17/2022 4F47A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0141 ORGANIZATION AND STAFFING Standard
21C0001575 Surgcenter Of The Potomac, Llc 6500 Rock Spring Drive, Suite 100 Bethesda MD 3 (Philadelphia) 01/16/2019 7YP411 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard
Q0266 DISCHARGE - ORDER Standard
21C0001576 Peninsula Women's Center, Llc 804 Snow Hill Road Salisbury MD 3 (Philadelphia) 02/21/2023 5EA7C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance and Testing Standard
21C0001576 Peninsula Women's Center, Llc 804 Snow Hill Road Salisbury MD 3 (Philadelphia) 12/16/2022 5EA7C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
21C0001576 Peninsula Women's Center, Llc 804 Snow Hill Road Salisbury MD 3 (Philadelphia) 11/17/2021 MPVU11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0060 SURGICAL SERVICES Condition
Q0061 ANESTHETIC RISK AND EVALUATION Standard
21C0001576 Peninsula Women's Center, Llc 804 Snow Hill Road Salisbury MD 3 (Philadelphia) 08/21/2019 3OKH21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
21C0001576 Peninsula Women's Center, Llc 804 Snow Hill Road Salisbury MD 3 (Philadelphia) 07/17/2019 3OKH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0104 SAFETY FROM FIRE Standard
Q0110 EMERGENCY PERSONNEL Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard