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
▼ 38C0001118 Surgery Center At St. Vincent, Llc 9135 Sw Barnes Road, Suite 161 Portland OR 10 (Seattle) 07/30/2025 1D1EEB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0163 Interior Nonbearing Wall Construction Standard
K0323 Anesthetizing Locations Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
▼ 38C0001118 Surgery Center At St. Vincent, Llc 9135 Sw Barnes Road, Suite 161 Portland OR 10 (Seattle) 07/28/2025 1D1EEB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0060 SURGICAL SERVICES Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 38C0001118 Surgery Center At St. Vincent, Llc 9135 Sw Barnes Road, Suite 161 Portland OR 10 (Seattle) 01/09/2020 T2OI11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 38C0001118 Surgery Center At St. Vincent, Llc 9135 Sw Barnes Road, Suite 161 Portland OR 10 (Seattle) 01/03/2020 T2OI21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population 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
E0026 Roles Under a Waiver Declared by Secretary Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
K0223 Doors with Self-Closing Devices Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
▼ 39C0001008 Benedetto Dermatology, Llc 1200 Locust Street Philadelphia PA 3 (Philadelphia) 02/13/2020 YN7P21 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
K0131 Multiple Occupancies Standard
▼ 39C0001014 Pennsylvania Eye Surgery Center 4100 Linglestown Road Harrisburg PA 3 (Philadelphia) 04/09/2019 KI5T11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001017 Southwestern Ambulatory Surgery Center, Llc 500 Lewis Run Road Suite 202 Pittsburgh PA 3 (Philadelphia) 03/25/2026 1E4727-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0063 ADMINISTRATION OF ANESTHESIA Standard
Q0123 OTHER PRACTITIONERS Standard
▼ 39C0001017 Southwestern Ambulatory Surgery Center, Llc 500 Lewis Run Road Suite 202 Pittsburgh PA 3 (Philadelphia) 03/23/2026 1E4727-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 39C0001017 Southwestern Ambulatory Surgery Center, Llc 500 Lewis Run Road Suite 202 Pittsburgh PA 3 (Philadelphia) 02/07/2023 5EB15-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 39C0001017 Southwestern Ambulatory Surgery Center, Llc 500 Lewis Run Road Suite 202 Pittsburgh PA 3 (Philadelphia) 02/02/2023 5EB15-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard