S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
39C0001076 Philadelphia Surgicenter,Inc 9500 Roosevelt Boulevard Philadelphia PA 3 (Philadelphia) 03/29/2023 5FD9C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
39C0001076 Philadelphia Surgicenter,Inc 9500 Roosevelt Boulevard Philadelphia PA 3 (Philadelphia) 08/01/2019 0PLP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
39C0001076 Philadelphia Surgicenter,Inc 9500 Roosevelt Boulevard Philadelphia PA 3 (Philadelphia) 05/15/2019 0PLP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
39C0001077 Progressive Surgical Institute, Inc. 201 East Laurel Blvd Pottsville PA 3 (Philadelphia) 10/24/2023 603E8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
39C0001077 Progressive Surgical Institute, Inc. 201 East Laurel Blvd Pottsville PA 3 (Philadelphia) 10/09/2020 XD2511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
39C0001079 Valley View Surgical Center 875 Norman Drive Lebanon PA 3 (Philadelphia) 01/04/2018 5Q3T21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
39C0001080 Holy Redeemer Ambulatory Surgery Center 821 Huntington Pike, Suite 100 Huntingdon Valley PA 3 (Philadelphia) 03/12/2026 1D8CA2-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
39C0001080 Holy Redeemer Ambulatory Surgery Center 821 Huntington Pike, Suite 100 Huntingdon Valley PA 3 (Philadelphia) 11/16/2022 5DD51-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0180 PHARMACEUTICAL SERVICES Condition
Q0181 ADMINISTRATION OF DRUGS Standard
39C0001080 Holy Redeemer Ambulatory Surgery Center 821 Huntington Pike, Suite 100 Huntingdon Valley PA 3 (Philadelphia) 11/10/2022 5DD51-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
K0211 Means of Egress - General Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0924 Electrical Equipment ? Wet Procedure Locations Standard
39C0001080 Holy Redeemer Ambulatory Surgery Center 821 Huntington Pike, Suite 100 Huntingdon Valley PA 3 (Philadelphia) 02/22/2019 L5R521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard