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
▼ 21C0001605 Calvert Digestive Disease Associates Endoscopy And Surgery Center Llc 985 Prince Frederick Boulevard, Suite 104 Prince Frederick MD 3 (Philadelphia) 11/18/2021 7P6211 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
▼ 21C0001606 Elkridge Asc 6816 Deerpath Road Elkridge MD 3 (Philadelphia) 05/29/2024 628EB-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
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 21C0001606 Elkridge Asc 6816 Deerpath Road Elkridge MD 3 (Philadelphia) 03/19/2024 628EB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0122 REAPPRAISALS Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 21C0001606 Elkridge Asc 6816 Deerpath Road Elkridge MD 3 (Philadelphia) 05/10/2022 V5DP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0922 Gas Equipment - Other Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 21C0001606 Elkridge Asc 6816 Deerpath Road Elkridge MD 3 (Philadelphia) 01/13/2022 V5DP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 21C0001608 Lutherville Surgery Center Llc 1609 East Joppa Road Towson MD 3 (Philadelphia) 11/05/2021 QFGC11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 21C0001609 Synergy Surgery Center, Llc 12150 Annapolis Road, Suite 209 Glenn Dale MD 3 (Philadelphia) 09/17/2024 64363-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 21C0001609 Synergy Surgery Center, Llc 12150 Annapolis Road, Suite 209 Glenn Dale MD 3 (Philadelphia) 06/30/2022 4EC47-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
K0300 Protection - Other Standard
K0355 Portable Fire Extinguishers Standard
▼ 21C0001609 Synergy Surgery Center, Llc 12150 Annapolis Road, Suite 209 Glenn Dale MD 3 (Philadelphia) 05/26/2022 4EC47-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 21C0001611 Summit Ambulatory Surgical Center 19851 Observation Drive, Suite 445 Germantown MD 3 (Philadelphia) 02/14/2023 5DDF4-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
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard