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

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
31C0001284 Center For Ambulatory And Minimally Invasive Surgery L.L.C. 234 Industrial Way West Eatontown NJ 2 (New York) 02/02/2022 NLET11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
31C0001288 Mountain Surgery Center 375 Mt Pleasant Avenue, Suite 210 West Orange NJ 2 (New York) 04/19/2023 5F9B5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard
Q0161 ORGANIZATION Standard
31C0001288 Mountain Surgery Center 375 Mt Pleasant Avenue, Suite 210 West Orange NJ 2 (New York) 10/26/2022 4F02A-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0240 INFECTION CONTROL Condition
Q0241 SANITARY ENVIRONMENT Standard
31C0001288 Mountain Surgery Center 375 Mt Pleasant Avenue, Suite 210 West Orange NJ 2 (New York) 07/14/2022 4F02A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0180 PHARMACEUTICAL SERVICES Condition
Q0181 ADMINISTRATION OF DRUGS Standard
Q0184 VERBAL ORDERS Standard
31C0001290 Northeast Surgi-Care, Llc 475 Route 70 Lakewood NJ 2 (New York) 09/01/2021 5UBQ11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0220 NOTICE - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
31C0001291 Center For Modern Surgery, Llc 210 Meadowland Parkway Ste 5 Secaucus NJ 2 (New York) 06/03/2026 232041-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0180 PHARMACEUTICAL SERVICES Condition
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
31C0001291 Center For Modern Surgery, Llc 210 Meadowland Parkway Ste 5 Secaucus NJ 2 (New York) 06/03/2026 232041-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0511 Utilities - Gas and Electric Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
31C0001291 Center For Modern Surgery, Llc 210 Meadowland Parkway Ste 5 Secaucus NJ 2 (New York) 06/14/2023 6006F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0060 SURGICAL SERVICES Condition
Q0120 MEDICAL STAFF Condition
Q0160 MEDICAL RECORDS Condition
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0042 HOSPITALIZATION Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
31C0001291 Center For Modern Surgery, Llc 210 Meadowland Parkway Ste 5 Secaucus NJ 2 (New York) 02/14/2023 5EAD0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0042 HOSPITALIZATION Standard
Q0242 INFECTION CONTROL PROGRAM Standard
31C0001291 Center For Modern Surgery, Llc 210 Meadowland Parkway Ste 5 Secaucus NJ 2 (New York) 08/03/2022 4F19A-H1 Focused Infection Control, 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
Q0041 CONTRACT SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard