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
▼ 39C0001222 Evangelical Community Hospital 90 Medical Park Drive Lewisburg PA 3 (Philadelphia) 01/07/2020 QC3811 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 39C0001223 Nazareth Physician Services, Inc. 1403-05 Rhawn Street Philadelphia PA 3 (Philadelphia) 08/22/2024 63E55-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001223 Nazareth Physician Services, Inc. 1403-05 Rhawn Street Philadelphia PA 3 (Philadelphia) 08/12/2024 63E55-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0039 EP Testing Requirements Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
▼ 39C0001223 Nazareth Physician Services, Inc. 1403-05 Rhawn Street Philadelphia PA 3 (Philadelphia) 12/10/2019 2D3X21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0018 Procedures for Tracking of Staff and Patients Standard
E0020 Policies for Evac. and Primary/Alt. Comm. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0039 EP Testing Requirements Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0342 Fire Alarm System - Initiation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 39C0001225 Mountain Laurel Surgery Center, Llc 1860 Fair Avenue Honesdale PA 3 (Philadelphia) 01/04/2024 61A3E-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
▼ 39C0001226 Gamma Surgery Center 107 Gamma Drive Pittsburgh PA 3 (Philadelphia) 10/22/2024 640B4-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 39C0001230 Endoscopy Center Of Bucks County 790 Yardley Road Suite 415 Newtown PA 3 (Philadelphia) 06/22/2023 60263-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0354 Sprinkler System - Out of Service Standard
K0355 Portable Fire Extinguishers Standard
▼ 39C0001230 Endoscopy Center Of Bucks County 790 Yardley Road Suite 415 Newtown PA 3 (Philadelphia) 06/21/2023 60263-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 39C0001230 Endoscopy Center Of Bucks County 790 Yardley Road Suite 415 Newtown PA 3 (Philadelphia) 01/15/2020 OVMB21 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
K0131 Multiple Occupancies Standard
▼ 39C0001233 Valley Ambulatory Surgical Center 201 Drift Court Bethlehem PA 3 (Philadelphia) 04/15/2026 1D10F8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard