S&C QCOR ASC 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
ASCs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 36C0001165 Middletown Endoscopy Asc, Llc 257 North Breiel Blvd Middletown OH 5 (Chicago) 04/10/2018 FN4L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 36C0001168 Central Ohio Endoscopy Center 85 Mcnaughten Road Columbus OH 5 (Chicago) 09/16/2021 ZC2111 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
▼ 36C0001168 Central Ohio Endoscopy Center 85 Mcnaughten Road Columbus OH 5 (Chicago) 09/16/2021 ZC2121 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0311 Vertical Openings - Enclosure Standard
K0344 Fire Alarm - Control Functions Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0346 Fire Alarm System - Out of Service Standard
K0354 Sprinkler System - Out of Service Standard
K0511 Utilities - Gas and Electric Standard
K0711 Evacuation and Relocation Plan Standard
K0712 Fire Drills Standard
▼ 36C0001172 Valley Endoscopy Center 68377 Stewart Drive, Suite 202 Saint Clairsville OH 5 (Chicago) 03/29/2018 MV6611 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 36C0001172 Valley Endoscopy Center 68377 Stewart Drive, Suite 202 Saint Clairsville OH 5 (Chicago) 03/29/2018 MV6621 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 36C0001175 Ohio Orthopedic Surgery Institute 4605 Sawmill Road Columbus OH 5 (Chicago) 02/16/2018 RVRB11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
▼ 36C0001175 Ohio Orthopedic Surgery Institute 4605 Sawmill Road Columbus OH 5 (Chicago) 02/14/2018 RVRB21 Recertification, Sample Validation
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
K0712 Fire Drills Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
K0933 Features of Fire Protection ? Fire Loss Prevention Standard
▼ 36C0001178 Psi Surgery Center, Llc 9985 Dayton-Lebanon Pike Centerville OH 5 (Chicago) 06/27/2019 VFTB11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
▼ 36C0001178 Psi Surgery Center, Llc 9985 Dayton-Lebanon Pike Centerville OH 5 (Chicago) 06/27/2019 VFTB21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0281 Illumination of Means of Egress Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0521 HVAC Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 36C0001179 Valley Eye Institute Asc Llc 1118 Fairington Drive Sidney OH 5 (Chicago) 07/26/2018 HYW321 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard