S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

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
31C0001131 Morris Avenue Endoscopy Llc 200 Sheffield Street Ste 101 Mountainside NJ 2 (New York) 08/14/2019 2J5011 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
31C0001131 Morris Avenue Endoscopy Llc 200 Sheffield Street Ste 101 Mountainside NJ 2 (New York) 08/14/2019 2J5021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0161 Building Construction Type and Height Standard
31C0001132 The Endo Center At Voorhees 93 Cooper Road, Suite 100 Voorhees NJ 2 (New York) 11/10/2022 5E1B0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0220 NOTICE - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
31C0001132 The Endo Center At Voorhees 93 Cooper Road, Suite 100 Voorhees NJ 2 (New York) 01/26/2018 93KJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0105 EMERGENCY EQUIPMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 ADMISSION ASSESSMENT Standard
31C0001132 The Endo Center At Voorhees 93 Cooper Road, Suite 100 Voorhees NJ 2 (New York) 01/26/2018 93KJ21 Recertification
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
31C0001134 Premier Surgical Center Llc 10000 Lincoln Drive East, One Greentree Center, Suite 301 Marlton NJ 2 (New York) 03/05/2026 1F1C1C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
31C0001134 Premier Surgical Center Llc 10000 Lincoln Drive East, One Greentree Center, Suite 301 Marlton NJ 2 (New York) 03/05/2026 1F1C1C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0904 Gas and Vacuum Piped Systems ? Warning Systems Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
31C0001134 Premier Surgical Center Llc 10000 Lincoln Drive East, One Greentree Center, Suite 301 Marlton NJ 2 (New York) 12/21/2022 5E8BB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
31C0001134 Premier Surgical Center Llc 10000 Lincoln Drive East, One Greentree Center, Suite 301 Marlton NJ 2 (New York) 09/06/2018 GL6Y11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
31C0001134 Premier Surgical Center Llc 10000 Lincoln Drive East, One Greentree Center, Suite 301 Marlton NJ 2 (New York) 09/05/2018 GL6Y21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0271 Discharge from Exits Standard
K0754 Soiled Linen and Trash Containers Standard