S&C QCOR ASC 2567s
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ASCs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 39C0001257 Urology Health Surgery Center, Llc 1800 Byberry Road Suite 1204 Huntingdon Valley PA 3 (Philadelphia) 02/28/2022 E7OI-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
▼ 39C0001257 Urology Health Surgery Center, Llc 1800 Byberry Road Suite 1204 Huntingdon Valley PA 3 (Philadelphia) 06/03/2021 E7OI21 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
K0131 Multiple Occupancies Standard
K0291 Emergency Lighting Standard
K0351 Sprinkler System - Installation Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001258 Pine Grove Ambulatory Surgery Center 10 Timberview Lane Russell PA 3 (Philadelphia) 06/22/2022 4EBD8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 39C0001258 Pine Grove Ambulatory Surgery Center 10 Timberview Lane Russell PA 3 (Philadelphia) 10/10/2018 IL6L21 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
▼ 39C0001259 Endoscopy Associates Of Valley Forge Llc 420 West Linfield-Trappe Road Limerick PA 3 (Philadelphia) 12/19/2024 645BA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 39C0001259 Endoscopy Associates Of Valley Forge Llc 420 West Linfield-Trappe Road Limerick PA 3 (Philadelphia) 01/24/2019 470U11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
▼ 39C0001259 Endoscopy Associates Of Valley Forge Llc 420 West Linfield-Trappe Road Limerick PA 3 (Philadelphia) 12/11/2018 470U21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
K0131 Multiple Occupancies Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 39C0001261 St. Luke's Ambulatory Services, Inc. D/B/A St. Luke's Endoscopy Center - Buxmont 1107 Bethlehem Pike Sellersville PA 3 (Philadelphia) 01/09/2025 645B9-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0355 Portable Fire Extinguishers Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
▼ 39C0001261 St. Luke's Ambulatory Services, Inc. D/B/A St. Luke's Endoscopy Center - Buxmont 1107 Bethlehem Pike Sellersville PA 3 (Philadelphia) 01/07/2022 GXLO11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
▼ 39C0001261 St. Luke's Ambulatory Services, Inc. D/B/A St. Luke's Endoscopy Center - Buxmont 1107 Bethlehem Pike Sellersville PA 3 (Philadelphia) 12/27/2018 RYYL21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
K0131 Multiple Occupancies Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard