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
▼ 21C0001617 Asc Development Company, Llc 5010 Regency Place, Suite 202a White Plains MD 3 (Philadelphia) 07/10/2019 VPXR21 Initial Certification
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
K0300 Protection - Other Standard
▼ 21C0001617 Asc Development Company, Llc 5010 Regency Place, Suite 202a White Plains MD 3 (Philadelphia) 06/05/2019 VPXR11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001618 Johns Hopkins Surgery Center Series 10803 Falls Road, Suite 3100 Lutherville MD 3 (Philadelphia) 07/30/2019 4GYZ21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
▼ 21C0001618 Johns Hopkins Surgery Center Series 10803 Falls Road, Suite 3100 Lutherville MD 3 (Philadelphia) 07/19/2019 4GYZ11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
▼ 21C0001621 Mivc Asc 9201 Cherry Lane Laurel MD 3 (Philadelphia) 08/06/2019 K8N421 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0311 Vertical Openings - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 21C0001621 Mivc Asc 9201 Cherry Lane Laurel MD 3 (Philadelphia) 07/03/2019 K8N411 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0220 NOTICE - POSTING Standard
Q0221 NOTICE OF RIGHTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
▼ 21C0001622 Complete Pain Surgery Center Of White Marsh, Llc 5430 Campbell Blvd, Suite 111 White Marsh MD 3 (Philadelphia) 06/26/2023 5F98A-L1 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
K0293 Exit Signage Standard
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 21C0001623 Meraj Asc,Llc 1015 North Prince Frederick Blvd Prince Frederick MD 3 (Philadelphia) 10/24/2019 MVR421 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0781 Portable Space Heaters Standard
▼ 21C0001623 Meraj Asc,Llc 1015 North Prince Frederick Blvd Prince Frederick MD 3 (Philadelphia) 09/03/2019 MVR411 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 21C0001624 Surgery Center Of York Road 1300 York Road, Bldg C, Suite 200 Lutherville MD 3 (Philadelphia) 05/01/2023 5F7D1-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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard