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
▼ 39C0001098 Lackawanna Physicians Ambulatory Surgery Center, Llc 423 Scranton Carbondale Highway Dickson City PA 3 (Philadelphia) 08/10/2018 Z3XP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
▼ 39C0001099 Summit Surgery Center Lp 12 St Paul Drive Chambersburg PA 3 (Philadelphia) 07/31/2024 63786-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 39C0001100 York Endoscopy Center Llc 2690 Southfield Drive York PA 3 (Philadelphia) 10/02/2024 63C02-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 39C0001100 York Endoscopy Center Llc 2690 Southfield Drive York PA 3 (Philadelphia) 08/18/2021 T0R721 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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001108 Angelina Theresa Bucci Eye Surgery Inc. 158 Wilkes-Barre Township Blvd Wilkes-Barre PA 3 (Philadelphia) 11/20/2020 IG7Q21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001113 Hazleton Endoscopy Center, Inc. 10 Park Place Hazleton PA 3 (Philadelphia) 06/10/2025 659D9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0161 ORGANIZATION Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 39C0001113 Hazleton Endoscopy Center, Inc. 10 Park Place Hazleton PA 3 (Philadelphia) 01/05/2022 M7MC11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 39C0001113 Hazleton Endoscopy Center, Inc. 10 Park Place Hazleton PA 3 (Philadelphia) 06/18/2018 ATMY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
E0007 EP Program Patient Population Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
K0100 General Requirements - Other Standard
▼ 39C0001113 Hazleton Endoscopy Center, Inc. 10 Park Place Hazleton PA 3 (Philadelphia) 06/06/2018 ATMY11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 39C0001116 Susquehanna Surgery Center 6850 Lows Road Bloomsburg PA 3 (Philadelphia) 10/08/2021 0BG011 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard