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
▼ 39C0001116 Susquehanna Surgery Center 6850 Lows Road Bloomsburg PA 3 (Philadelphia) 09/10/2018 VRK621 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
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
▼ 39C0001118 Montgomery Surgery Center 1000 North Broad Street Lansdale PA 3 (Philadelphia) 11/23/2021 NMFC11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 39C0001118 Montgomery Surgery Center 1000 North Broad Street Lansdale PA 3 (Philadelphia) 12/04/2018 Y6V021 Recertification
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
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
K0211 Means of Egress - General Standard
K0311 Vertical Openings - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0917 Electrical Systems - Essential Electric Syste Standard
▼ 39C0001124 Mahoning Valley Ambulatory Surgery Center, Inc. 37 Medical Crossing Road Tamaqua PA 3 (Philadelphia) 03/24/2026 1DD5FE-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 39C0001128 Lewisburg Plastic Surgery And Laser Center 135 Walter Drive Lewisburg PA 3 (Philadelphia) 02/27/2026 1DD5E4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 39C0001128 Lewisburg Plastic Surgery And Laser Center 135 Walter Drive Lewisburg PA 3 (Philadelphia) 02/21/2023 4F74B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 39C0001129 Midatlantic Endoscopy Llc 2112 Harrisburg Pike, Suite 100 Lancaster PA 3 (Philadelphia) 03/28/2024 61208-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001129 Midatlantic Endoscopy Llc 2112 Harrisburg Pike, Suite 100 Lancaster PA 3 (Philadelphia) 03/25/2024 61208-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001129 Midatlantic Endoscopy Llc 2112 Harrisburg Pike, Suite 100 Lancaster PA 3 (Philadelphia) 09/30/2020 76MN11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICIAL ENVIRONMENT Standard
▼ 39C0001130 Bethlehem Endoscopy Center, Llc 5325 Northgate Drive Bethlehem PA 3 (Philadelphia) 12/16/2019 H7U921 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0911 Electrical Systems - Other Standard