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
▼ 39C0001082 Village Surgicenter 5473 Village Common Drive Erie PA 3 (Philadelphia) 06/06/2024 630A4-L1 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
E0036 EP Training and Testing Standard
K0291 Emergency Lighting Standard
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
▼ 39C0001082 Village Surgicenter 5473 Village Common Drive Erie PA 3 (Philadelphia) 12/29/2020 JFP221 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 39C0001084 Eye Surgery Center Of Chester Country 140 John Thomas Drive Exton PA 3 (Philadelphia) 07/26/2021 5EFZ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0511 Utilities - Gas and Electric Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 39C0001085 Wills Surgery Center Of Philadelphia Stadium Campus 3340 South Broad Street Philadelphia PA 3 (Philadelphia) 06/10/2025 654DC-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
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0343 Fire Alarm System - Notification Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
▼ 39C0001085 Wills Surgery Center Of Philadelphia Stadium Campus 3340 South Broad Street Philadelphia PA 3 (Philadelphia) 11/01/2021 QCVW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
K0211 Means of Egress - General Standard
K0906 Gas and Vacuum Piped Systems ? Central Supply System Operations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001085 Wills Surgery Center Of Philadelphia Stadium Campus 3340 South Broad Street Philadelphia PA 3 (Philadelphia) 05/01/2018 J0WW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0932 Features of Fire Protection - Other Standard
▼ 39C0001085 Wills Surgery Center Of Philadelphia Stadium Campus 3340 South Broad Street Philadelphia PA 3 (Philadelphia) 02/23/2018 J0WW11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001086 Susquehanna Valley Surgical Center 4300 Londonderry Road, Suite 1 Harrisburg PA 3 (Philadelphia) 02/19/2025 64696-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001086 Susquehanna Valley Surgical Center 4300 Londonderry Road, Suite 1 Harrisburg PA 3 (Philadelphia) 02/18/2025 64696-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001086 Susquehanna Valley Surgical Center 4300 Londonderry Road, Suite 1 Harrisburg PA 3 (Philadelphia) 02/15/2022 I0I021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0311 Vertical Openings - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0531 Elevators Standard