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
▼ 39C0001306 Vincera Surgery Center, Llc 1200 Constitution Avenue Suite 100 Philadelphia PA 3 (Philadelphia) 12/16/2020 J38721 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
E0018 Procedures for Tracking of Staff and Patients Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 39C0001307 Oxford Valley Pain And Surgical Center Inc. 310 Middletown Blvd Suite 200 Langhorne PA 3 (Philadelphia) 10/17/2023 60F67-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0063 ADMINISTRATION OF ANESTHESIA Standard
▼ 39C0001308 Monroeville Asc Llc 4121 Monroeville Blvd Monroeville PA 3 (Philadelphia) 05/05/2025 65D24-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
▼ 39C0001309 Northeast Regional Surgery Center Llc 11 Gallagher Drive Plains PA 3 (Philadelphia) 06/16/2026 1F169C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
▼ 39C0001309 Northeast Regional Surgery Center Llc 11 Gallagher Drive Plains PA 3 (Philadelphia) 06/03/2026 1F169C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001314 Allegheny Clinic 12311 Perry Highway Wexford PA 3 (Philadelphia) 06/13/2018 P54721 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
▼ 39C0001317 Elite Surgery Center Llc 205 Mary Higginson Lane Level 2 Uniontown PA 3 (Philadelphia) 09/22/2021 MYAF11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
▼ 39C0001317 Elite Surgery Center Llc 205 Mary Higginson Lane Level 2 Uniontown PA 3 (Philadelphia) 01/12/2018 0FL711 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0101 PHYSICIAL ENVIRONMENT Standard
▼ 39C0001318 Pain Center Of Wyoming Valley, Llc 142 Mundy Street Wilkes Barre PA 3 (Philadelphia) 01/21/2025 64D79-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0911 Electrical Systems - Other Standard
▼ 39C0001318 Pain Center Of Wyoming Valley, Llc 142 Mundy Street Wilkes Barre PA 3 (Philadelphia) 01/25/2018 IEEK11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard