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
▼ 39C0001190 Surgery Center Of Lebanon, Lp 1840 Quentin Road Lebanon PA 3 (Philadelphia) 04/26/2018 K7LS11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
▼ 39C0001191 Harrisburg Interventional Pain Management Center 825 Sir Thomas Court Harrisburg PA 3 (Philadelphia) 02/10/2023 5E496-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0063 ADMINISTRATION OF ANESTHESIA Standard
▼ 39C0001192 Spartan Health Surgicenter 100 Stoops Drive, Ground Floor Monongahela PA 3 (Philadelphia) 03/18/2021 PNN721 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 39C0001193 South Hills Diagnostic & Treatment Center, Lp 2589 Boyce Plaza Road Pittsburgh PA 3 (Philadelphia) 06/03/2025 66030-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 39C0001193 South Hills Diagnostic & Treatment Center, Lp 2589 Boyce Plaza Road Pittsburgh PA 3 (Philadelphia) 04/05/2018 91EP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0031 Emergency Officials Contact Information Standard
E0039 EP Testing Requirements Standard
K0131 Multiple Occupancies Standard
K0911 Electrical Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 39C0001194 Cataract & Laser Surgery Center Of Central Pa 5 Tyler Court Carlisle PA 3 (Philadelphia) 04/04/2024 6205D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0521 HVAC Standard
▼ 39C0001194 Cataract & Laser Surgery Center Of Central Pa 5 Tyler Court Carlisle PA 3 (Philadelphia) 09/17/2020 RQZV21 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
▼ 39C0001195 Tri-County Eye Surgery & Laser Center 319 2nd Street Pike Southampton PA 3 (Philadelphia) 07/08/2021 H1GT21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0023 Policies/Procedures for Medical Documentation Standard
K0131 Multiple Occupancies Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001196 Del Val Asc Llc 744 West Lancaster Ave. Suite 110 Wayne PA 3 (Philadelphia) 01/27/2022 9BUO11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0266 DISCHARGE - ORDER Standard
▼ 39C0001196 Del Val Asc Llc 744 West Lancaster Ave. Suite 110 Wayne PA 3 (Philadelphia) 01/25/2018 6BQH11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0264 POST-SURGICAL ASSESSMENT Standard