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
▼ 39C0001165 Liberty Eye Surgical Center, Llc 9122 Blue Grass Road Philadelphia PA 3 (Philadelphia) 11/13/2018 CL6Z21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0355 Portable Fire Extinguishers Standard
▼ 39C0001166 The Pottsville Pa Endoscopy Asc, L.P. 48 Tunnel Road, Suite 103 Pottsville PA 3 (Philadelphia) 12/16/2020 6C7F11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001168 Hershey Outpatient Surgery Center 15 Hope Drive Hershey PA 3 (Philadelphia) 01/26/2023 5E48E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 39C0001168 Hershey Outpatient Surgery Center 15 Hope Drive Hershey PA 3 (Philadelphia) 03/07/2019 I1FN11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0232 SAFETY Standard
▼ 39C0001169 Bryn Mawr Medical Specialists 933 Haverford Road Bryn Mawr PA 3 (Philadelphia) 05/18/2023 5E473-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0007 EP Program Patient Population Standard
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
▼ 39C0001169 Bryn Mawr Medical Specialists 933 Haverford Road Bryn Mawr PA 3 (Philadelphia) 02/21/2020 O54O11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001169 Bryn Mawr Medical Specialists 933 Haverford Road Bryn Mawr PA 3 (Philadelphia) 12/27/2019 O54O21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0007 EP Program Patient Population Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0034 Information on Occupancy/Needs Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 39C0001170 Temple University School Of Podiatric Medicine Ambulatory Surgical Center Eighth At Race Streets Philadelphia PA 3 (Philadelphia) 10/17/2021 X2XQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001170 Temple University School Of Podiatric Medicine Ambulatory Surgical Center Eighth At Race Streets Philadelphia PA 3 (Philadelphia) 07/15/2021 X2XQ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
E0031 Emergency Officials Contact Information Standard
K0100 General Requirements - Other Standard
K0311 Vertical Openings - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0511 Utilities - Gas and Electric Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001170 Temple University School Of Podiatric Medicine Ambulatory Surgical Center Eighth At Race Streets Philadelphia PA 3 (Philadelphia) 06/14/2018 KMJW11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard