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
▼ 33C0001004 Eye Health Associates, Inc. 170 Maple Road Buffalo NY 2 (New York) 02/03/2023 5F086-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
▼ 33C0001004 Eye Health Associates, Inc. 170 Maple Road Buffalo NY 2 (New York) 04/04/2019 J2YX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 33C0001004 Eye Health Associates, Inc. 170 Maple Road Buffalo NY 2 (New York) 04/04/2019 J2YX21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0911 Electrical Systems - Other Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
▼ 33C0001006 Kingston Ambulatory Surgical Center 40 Hurley Avenue Kingston NY 2 (New York) 09/27/2018 9FT911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
E0034 Information on Occupancy/Needs Standard
E0039 EP Testing Requirements Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 33C0001006 Kingston Ambulatory Surgical Center 40 Hurley Avenue Kingston NY 2 (New York) 09/27/2018 9FT921 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0311 Vertical Openings - Enclosure Standard
K0321 Hazardous Areas - Enclosure Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0911 Electrical Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 33C0001007 Endo Group, Llc 400 Endo Boulevard Garden City NY 2 (New York) 04/26/2019 ZRBH11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
▼ 33C0001009 Ambulatory Surgery Center Of Greater New York 1101 Pelham Parkway North Bronx NY 2 (New York) 12/14/2018 KMO211 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
▼ 33C0001009 Ambulatory Surgery Center Of Greater New York 1101 Pelham Parkway North Bronx NY 2 (New York) 12/14/2018 KMO221 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0712 Fire Drills Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 33C0001012 Millard Fillmore Surgery Center, Llc 215 Klein Road Williamsville NY 2 (New York) 05/02/2024 62D5E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0062 ANESTHETIC - DISCHARGE Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 33C0001012 Millard Fillmore Surgery Center, Llc 215 Klein Road Williamsville NY 2 (New York) 05/02/2024 62D5E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0223 Doors with Self-Closing Devices Standard
K0521 HVAC Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard