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
▼ 39C0001233 Valley Ambulatory Surgical Center 201 Drift Court Bethlehem PA 3 (Philadelphia) 04/30/2022 WBMB11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0100 ENVIRONMENT Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0244 INFECTION CONTROL PROGRAM - QAPI Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 39C0001233 Valley Ambulatory Surgical Center 201 Drift Court Bethlehem PA 3 (Philadelphia) 10/13/2021 ID1Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001233 Valley Ambulatory Surgical Center 201 Drift Court Bethlehem PA 3 (Philadelphia) 07/11/2019 MBBP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
▼ 39C0001233 Valley Ambulatory Surgical Center 201 Drift Court Bethlehem PA 3 (Philadelphia) 03/15/2019 MBBP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 39C0001234 Surgery Center Of Pottsville, L.P. 1544 Route 61 Pottsville PA 3 (Philadelphia) 07/10/2018 9BUW21 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
▼ 39C0001235 Gateway Surgery Center, Llc 490 Northampton Suite 2 Edwardsville PA 3 (Philadelphia) 10/18/2023 5FDEA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
▼ 39C0001236 Associates Surgery Centers, Llc 9970 Mountain View Drive, Suite 100 West Mifflin PA 3 (Philadelphia) 09/01/2022 4F2CE-H1 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
▼ 39C0001237 Pgc Endoscopy Center For Excellence, Llc 700 Cottman Avenue, Suite 201 Philadelphia PA 3 (Philadelphia) 05/05/2023 5FB59-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 39C0001237 Pgc Endoscopy Center For Excellence, Llc 700 Cottman Avenue, Suite 201 Philadelphia PA 3 (Philadelphia) 02/22/2019 DN6611 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0001 BASIC REQUIREMENTS Condition
Q0002 DEFINITIONS Standard
▼ 39C0001237 Pgc Endoscopy Center For Excellence, Llc 700 Cottman Avenue, Suite 201 Philadelphia PA 3 (Philadelphia) 12/19/2018 DN6621 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
K0761 Maintenance, Inspection & Testing - Doors Standard