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
▼ 39C0001365 Children's Surgery Center Of Philadelphia Llc 2301 E Allegheny Avenue Suite 301m Philadelphia PA 3 (Philadelphia) 12/04/2024 644E4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 39C0001365 Children's Surgery Center Of Philadelphia Llc 2301 E Allegheny Avenue Suite 301m Philadelphia PA 3 (Philadelphia) 11/12/2024 644E4-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
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 39C0001367 Western Pa Surgery Center, Beaver County Branch Llc 103 Pleasant Drive Aliquippa PA 3 (Philadelphia) 02/11/2025 6516D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 39C0001370 Metro Physicians Specialty Group, P.C. 3450 High Point Boulevard Bethlehem PA 3 (Philadelphia) 05/17/2022 4ECEB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 39C0001371 Hermitage Endoscopy Center, Inc. 949 North Hermitage Road Hermitage PA 3 (Philadelphia) 07/08/2025 666F4-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0161 Building Construction Type and Height Standard
▼ 39C0001374 Tilden Ambulatory Surgery Center, Llc 61 Industrial Drive Hamburg PA 3 (Philadelphia) 06/16/2025 6523E-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
▼ 39C0001378 Cardiovascular Experts, Llc 3040 Market Street Camp Hill PA 3 (Philadelphia) 11/17/2025 66833-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0232 SAFETY Standard
▼ 39C0001389 Foundation Surgery Affiliate Of Huntingdon Valley Lp 1800 Byberry Road, Suite 1101 Huntingdon Valley PA 3 (Philadelphia) 06/18/2024 62FE0-L1 Initial Certification
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
▼ 39C0001403 Us Cardio Washington Llc 1000 Park Place Drive Suite 201 Washington PA 3 (Philadelphia) 02/11/2026 6586B-L1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 40C0001000 Clinica De Cirugia Ambulatoria De P R Calle Peral Esq De Diego 17 6to Piso Mayaguez PR 2 (New York) 07/31/2025 1D1E19-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard