S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 31C0001173 Renaissance Surgery Center 461 Goffle Road Wyckoff NJ 2 (New York) 05/07/2019 R5H511 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 31C0001173 Renaissance Surgery Center 461 Goffle Road Wyckoff NJ 2 (New York) 01/29/2019 W6ZF11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 31C0001173 Renaissance Surgery Center 461 Goffle Road Wyckoff NJ 2 (New York) 01/28/2019 W6ZF21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0232 Aisle, Corridor, or Ramp Width Standard
K0321 Hazardous Areas - Enclosure Standard
▼ 31C0001173 Renaissance Surgery Center 461 Goffle Road Wyckoff NJ 2 (New York) 01/19/2018 F6JY11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0140 NURSING SERVICES Condition
Q0141 ORGANIZATION AND STAFFING Standard
▼ 31C0001174 Surgicare Surgical Associates Of Oradell, Llc 555 Kinderkamack Road Oradell NJ 2 (New York) 11/21/2025 1DB862-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0220 NOTICE - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 31C0001174 Surgicare Surgical Associates Of Oradell, Llc 555 Kinderkamack Road Oradell NJ 2 (New York) 10/13/2022 F3PY-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0180 PHARMACEUTICAL SERVICES Condition
Q0240 INFECTION CONTROL Condition
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 31C0001174 Surgicare Surgical Associates Of Oradell, Llc 555 Kinderkamack Road Oradell NJ 2 (New York) 04/13/2022 F3PY11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
▼ 31C0001175 Ambulatory Center For Endoscopy, Llc 9226 Kennedy Boulevard, Unit A North Bergen NJ 2 (New York) 07/18/2018 Q91011 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0240 INFECTION CONTROL Condition
Q0062 ANESTHETIC - DISCHARGE Standard
Q0105 EMERGENCY EQUIPMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0231 PRIVACY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 ADMISSION ASSESSMENT Standard
▼ 31C0001175 Ambulatory Center For Endoscopy, Llc 9226 Kennedy Boulevard, Unit A North Bergen NJ 2 (New York) 07/17/2018 Q91021 Recertification, Sample Validation
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
K0321 Hazardous Areas - Enclosure Standard
▼ 31C0001176 Mt Laurel Endoscopy Center 15000 Midlantic Drive, Suite 110 Mount Laurel NJ 2 (New York) 11/21/2025 1DB855-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0062 ANESTHETIC - DISCHARGE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0266 DISCHARGE - ORDER Standard