S&C QCOR ASC 2567s
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ASCs 2567s
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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
▼ 21C0001611 Summit Ambulatory Surgical Center 19851 Observation Drive, Suite 445 Germantown MD 3 (Philadelphia) 09/29/2022 5DDF4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001612 Surgcenter Of Northern Baltimore 215 Schilling Circle, Suite 110-112 Hunt Valley MD 3 (Philadelphia) 11/02/2022 5DD5A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0700 Operating Features - Other Standard
▼ 21C0001614 Vsa Surgery Center Of Lutherville, Llc 1840 York Road, Suite E-F Timonium MD 3 (Philadelphia) 10/24/2022 4F758-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0919 Electrical Equipment - Other Standard
▼ 21C0001614 Vsa Surgery Center Of Lutherville, Llc 1840 York Road, Suite E-F Timonium MD 3 (Philadelphia) 05/15/2019 RE6R21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0355 Portable Fire Extinguishers Standard
▼ 21C0001616 Bel Air Surgical And Vein Center, Llc 2227 Old Emmorton Road, Suite 122 Bel Air MD 3 (Philadelphia) 10/13/2022 4F65E-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
E0037 EP Training Program Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 21C0001616 Bel Air Surgical And Vein Center, Llc 2227 Old Emmorton Road, Suite 122 Bel Air MD 3 (Philadelphia) 05/04/2022 4F65E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 21C0001616 Bel Air Surgical And Vein Center, Llc 2227 Old Emmorton Road, Suite 122 Bel Air MD 3 (Philadelphia) 10/10/2018 HDQ521 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0500 Building Services - Other Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
▼ 21C0001616 Bel Air Surgical And Vein Center, Llc 2227 Old Emmorton Road, Suite 122 Bel Air MD 3 (Philadelphia) 10/03/2018 HDQ511 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 21C0001617 Asc Development Company, Llc 5010 Regency Place, Suite 202a White Plains MD 3 (Philadelphia) 12/07/2022 5E5BE-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 21C0001617 Asc Development Company, Llc 5010 Regency Place, Suite 202a White Plains MD 3 (Philadelphia) 11/15/2022 5E5BE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard