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
▼ 39C0001170 Temple University School Of Podiatric Medicine Ambulatory Surgical Center Eighth At Race Streets Philadelphia PA 3 (Philadelphia) 05/02/2018 KMJW21 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
▼ 39C0001173 Plaza Surgical Center Inc 2 Bala Plaza Suite Pl-15 333 City Ave Bala Cynwyd PA 3 (Philadelphia) 05/09/2024 6198C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001173 Plaza Surgical Center Inc 2 Bala Plaza Suite Pl-15 333 City Ave Bala Cynwyd PA 3 (Philadelphia) 03/15/2021 XXPV11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0020 COMPLIANCE WITH STATE LICENSURE LAW Condition
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0041 CONTRACT SERVICES Standard
Q0042 HOSPITALIZATION Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001173 Plaza Surgical Center Inc 2 Bala Plaza Suite Pl-15 333 City Ave Bala Cynwyd PA 3 (Philadelphia) 01/28/2020 XXPV21 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
K0100 General Requirements - Other Standard
K0131 Multiple Occupancies Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 39C0001175 Endoscopy Center Of Central Pennsylvania, Llc 1421 Fishburn Road Hershey PA 3 (Philadelphia) 03/14/2022 2MU811 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
▼ 39C0001175 Endoscopy Center Of Central Pennsylvania, Llc 1421 Fishburn Road Hershey PA 3 (Philadelphia) 08/15/2018 R5MM11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
▼ 39C0001177 20/20 Surgery Center, Llc 516 Pellis Road Greensburg PA 3 (Philadelphia) 07/28/2025 66869-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0912 Electrical Systems - Receptacles Standard
▼ 39C0001177 20/20 Surgery Center, Llc 516 Pellis Road Greensburg PA 3 (Philadelphia) 02/25/2022 6QQ311 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0221 NOTICE OF RIGHTS Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 39C0001177 20/20 Surgery Center, Llc 516 Pellis Road Greensburg PA 3 (Philadelphia) 04/10/2018 3NDM11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 39C0001179 Radiance - A Private Outpatient Surgery Center 701 Boyce Road At Washington Pike Bridgeville PA 3 (Philadelphia) 06/17/2026 235D02-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard