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
▼ 30C0001032 Capital Orthopaedic Surgery Center 14 Tsienneto Road Ste 100 Derry NH 1 (Boston) 08/09/2021 BYB121 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
▼ 30C0001034 Wentworth Surgery Center, Llc 6 Works Way Somersworth NH 1 (Boston) 06/25/2025 667AB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 30C0001034 Wentworth Surgery Center, Llc 6 Works Way Somersworth NH 1 (Boston) 06/25/2025 667AB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 30C0001035 The Surgery Center Of Greater Nashua 10 Prospect St Suite 101 Nashua NH 1 (Boston) 09/18/2024 642E5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0201 LABORATORY SERVICES Standard
Q0203 RADIOLOGIC SERVICES Standard
▼ 30C0001035 The Surgery Center Of Greater Nashua 10 Prospect St Suite 101 Nashua NH 1 (Boston) 09/18/2024 642E5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 30C0001036 Orchard Surgical Center, Llc 16 Keewaydin Drive Salem NH 1 (Boston) 12/01/2022 5E5C7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 30C0001036 Orchard Surgical Center, Llc 16 Keewaydin Drive Salem NH 1 (Boston) 11/30/2022 5E5C7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0203 RADIOLOGIC SERVICES Standard
▼ 30C0001038 Pmc Surgical Center Llc 1 Mound Court Merrimack NH 1 (Boston) 07/03/2018 7G5P11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
▼ 30C0001039 Pmc Surgical Center Llc 255 Route 108 Somersworth NH 1 (Boston) 06/01/2023 5FE9F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0020 COMPLIANCE WITH STATE LICENSURE LAW Condition
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 30C0001039 Pmc Surgical Center Llc 255 Route 108 Somersworth NH 1 (Boston) 06/01/2023 5FE9F-L1 Recertification
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
K0291 Emergency Lighting Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard