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
▼ 36C0001269 Wilmington Surgical Services Llc 675 West Main Street Wilmington OH 5 (Chicago) 04/17/2019 K75E21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0521 HVAC Standard
▼ 36C0001273 Lancaster Surgery Center Inc 676 East Main Street Lancaster OH 5 (Chicago) 12/06/2018 RQWQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
▼ 36C0001273 Lancaster Surgery Center Inc 676 East Main Street Lancaster OH 5 (Chicago) 12/06/2018 RQWQ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 36C0001273 Lancaster Surgery Center Inc 676 East Main Street Lancaster OH 5 (Chicago) 02/22/2018 BCZP11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 36C0001274 Endoscopy Center At Bainbridge Llc The 1611 South Green Road Suite 120 South Euclid OH 5 (Chicago) 11/02/2020 XBIJ21 Complaint
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 36C0001280 White Fence Surgical Suites Llc 7277 Smiths Mills Road Suite 300 New Albany OH 5 (Chicago) 02/14/2019 SD1111 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0161 ORGANIZATION Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 36C0001280 White Fence Surgical Suites Llc 7277 Smiths Mills Road Suite 300 New Albany OH 5 (Chicago) 02/12/2019 SD1121 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
▼ 36C0001284 Central Ohio Endoscopy Center Llc 3400 Olentangy River Rd Columbus OH 5 (Chicago) 01/17/2018 W7N211 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
▼ 36C0001284 Central Ohio Endoscopy Center Llc 3400 Olentangy River Rd Columbus OH 5 (Chicago) 01/17/2018 W7N221 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
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 36C0001285 Ohio Specialty Surgical Suites Llc 7442 Frank Avenue Nw 2nd Floor North Canton OH 5 (Chicago) 03/23/2018 0DNN11 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
Q0122 REAPPRAISALS Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard