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
▼ 31C0001331 Jefferson Surgery Center-Cherry Hill 2211 Chapel Avenue West, Suite 200 Cherry Hill NJ 2 (New York) 09/16/2020 QNO211 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0241 SANITARY ENVIRONMENT Standard
▼ 31C0001334 Bridgewater Ambulatory Surgery Center, Llc 1121 Highway 22 West, Suite 301 Bridgewater NJ 2 (New York) 03/20/2025 65917-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 31C0001334 Bridgewater Ambulatory Surgery Center, Llc 1121 Highway 22 West, Suite 301 Bridgewater NJ 2 (New York) 01/09/2024 61DAC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 31C0001336 Surgical Studios, Llc 199 Mullica Hill Road Mullica Hill NJ 2 (New York) 05/25/2023 5FB68-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0060 SURGICAL SERVICES Condition
Q0219 PATIENT RIGHTS Condition
Q0240 INFECTION CONTROL Condition
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0184 VERBAL ORDERS Standard
Q0203 RADIOLOGIC SERVICES Standard
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0266 DISCHARGE - ORDER Standard
▼ 31C0001336 Surgical Studios, Llc 199 Mullica Hill Road Mullica Hill NJ 2 (New York) 05/25/2023 5FB68-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 31C0001338 Riverside Surgical Center Of Rutherford 201 Route 17 North, 12th Floor Rutherford NJ 2 (New York) 04/16/2024 62BB9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0266 DISCHARGE - ORDER Standard
▼ 31C0001338 Riverside Surgical Center Of Rutherford 201 Route 17 North, 12th Floor Rutherford NJ 2 (New York) 04/10/2024 62BB9-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 31C0001341 Atlanticare Center For Orthopedic Surgery 2500 English Creek Avenue, Suite 1201 Egg Harbor Twp NJ 2 (New York) 08/01/2024 63B55-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
Q0241 SANITARY ENVIRONMENT Standard
▼ 31C0001341 Atlanticare Center For Orthopedic Surgery 2500 English Creek Avenue, Suite 1201 Egg Harbor Twp NJ 2 (New York) 08/01/2024 63B55-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0222 Egress Doors Standard
▼ 31C0001352 Ambulatory Surgical Pavilion Of New Jersey 600 S White Horse Pike Hammonton NJ 2 (New York) 02/06/2026 1E1DD9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard