S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
39C0001157 Valley Pain Center Llc 1800 Byberry Road Suite 1101 Huntingdon Valley PA 3 (Philadelphia) 01/19/2023 5E77C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0355 Portable Fire Extinguishers Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
39C0001159 Tri-State Surgery Center Llc 80 Landings Drive Washington PA 3 (Philadelphia) 02/18/2022 UVIQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
39C0001159 Tri-State Surgery Center Llc 80 Landings Drive Washington PA 3 (Philadelphia) 04/27/2018 92UZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0181 ADMINISTRATION OF DRUGS Standard
39C0001160 Progressive Laser Surgical Institute 1300 Broadcasting Road Wyomissing PA 3 (Philadelphia) 07/01/2026 22E3F5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
39C0001161 York Adams Pain Specialists, Pc 250 Fame Avenue Suite 103 Hanover PA 3 (Philadelphia) 11/20/2024 63C03-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
39C0001161 York Adams Pain Specialists, Pc 250 Fame Avenue Suite 103 Hanover PA 3 (Philadelphia) 11/12/2024 63C03-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
39C0001161 York Adams Pain Specialists, Pc 250 Fame Avenue Suite 103 Hanover PA 3 (Philadelphia) 11/06/2018 1RG611 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0245 INFECTION CONTROL PROGRAM Standard
39C0001165 Liberty Eye Surgical Center, Llc 9122 Blue Grass Road Philadelphia PA 3 (Philadelphia) 04/16/2025 65334-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
K0293 Exit Signage Standard
39C0001165 Liberty Eye Surgical Center, Llc 9122 Blue Grass Road Philadelphia PA 3 (Philadelphia) 02/20/2025 65334-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
39C0001165 Liberty Eye Surgical Center, Llc 9122 Blue Grass Road Philadelphia PA 3 (Philadelphia) 02/13/2022 9J4V11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard