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
▼ 21C0001636 Nspc Surgery Center Of Maryland, Llc 6710 Oxon Hill, Suite 550b Oxon Hill MD 3 (Philadelphia) 10/23/2023 611D5-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
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 21C0001636 Nspc Surgery Center Of Maryland, Llc 6710 Oxon Hill, Suite 550b Oxon Hill MD 3 (Philadelphia) 09/22/2023 611D5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001636 Nspc Surgery Center Of Maryland, Llc 6710 Oxon Hill, Suite 550b Oxon Hill MD 3 (Philadelphia) 03/01/2021 328L21 Initial Certification
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
E0030 Names and Contact Information Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 21C0001638 Civista Clinical Services, Llc (Dba) Um Charles Regional Endoscopy Center 5 North Laplata Court,Suite 201 La Plata MD 3 (Philadelphia) 03/07/2024 61DBF-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
▼ 21C0001638 Civista Clinical Services, Llc (Dba) Um Charles Regional Endoscopy Center 5 North Laplata Court,Suite 201 La Plata MD 3 (Philadelphia) 12/21/2023 61DBF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 21C0001638 Civista Clinical Services, Llc (Dba) Um Charles Regional Endoscopy Center 5 North Laplata Court,Suite 201 La Plata MD 3 (Philadelphia) 06/29/2021 BM2J21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0030 Names and Contact Information Standard
K0711 Evacuation and Relocation Plan Standard
▼ 21C0001641 Sapna Surgery Center Of Potomac, Llc 7811 Montrose Rd, Suite 220 Potomac MD 3 (Philadelphia) 08/24/2021 PVD921 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 21C0001643 Metropolitan Vascular Institute,Llc 3015 Technology Place, Suite 110 Waldorf MD 3 (Philadelphia) 10/04/2021 L02421 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0300 Protection - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 21C0001644 Columbia Aesthetic Surgery Center, Llc 8860 Columbia 100 Pkwy, Ste 314 Columbia MD 3 (Philadelphia) 12/07/2023 61B08-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 21C0001644 Columbia Aesthetic Surgery Center, Llc 8860 Columbia 100 Pkwy, Ste 314 Columbia MD 3 (Philadelphia) 11/03/2021 Y0T821 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard