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
▼ 49C0001015 Lakeview Medical Center Inc 2000 Meade Parkway Suffolk VA 3 (Philadelphia) 03/22/2023 5F041-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 49C0001015 Lakeview Medical Center Inc 2000 Meade Parkway Suffolk VA 3 (Philadelphia) 03/01/2023 5F041-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 49C0001015 Lakeview Medical Center Inc 2000 Meade Parkway Suffolk VA 3 (Philadelphia) 04/17/2019 X7GY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 49C0001017 Kaiser Foundation Health Plan Of Mid-Atlantic States, Inc 8008 Westpark Drive 5th Floor Mc Lean VA 3 (Philadelphia) 08/05/2025 1D2A66-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 49C0001017 Kaiser Foundation Health Plan Of Mid-Atlantic States, Inc 8008 Westpark Drive 5th Floor Mc Lean VA 3 (Philadelphia) 07/30/2025 1D2A66-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
Q0042 HOSPITALIZATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 49C0001017 Kaiser Foundation Health Plan Of Mid-Atlantic States, Inc 8008 Westpark Drive 5th Floor Mc Lean VA 3 (Philadelphia) 11/15/2022 5E41B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
▼ 49C0001017 Kaiser Foundation Health Plan Of Mid-Atlantic States, Inc 8008 Westpark Drive 5th Floor Mc Lean VA 3 (Philadelphia) 08/05/2019 C7RW21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 49C0001017 Kaiser Foundation Health Plan Of Mid-Atlantic States, Inc 8008 Westpark Drive 5th Floor Mc Lean VA 3 (Philadelphia) 08/02/2019 C7RW11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0042 HOSPITALIZATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0221 NOTICE OF RIGHTS Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
▼ 49C0001018 Surgery Center Of Central Virginia, Inc 1835 Graves Mill Road Suite 2 Forest VA 3 (Philadelphia) 06/24/2022 4EDDC-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0161 Building Construction Type and Height Standard
K0293 Exit Signage Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0511 Utilities - Gas and Electric Standard
K0711 Evacuation and Relocation Plan Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
▼ 49C0001018 Surgery Center Of Central Virginia, Inc 1835 Graves Mill Road Suite 2 Forest VA 3 (Philadelphia) 06/23/2022 4EDDC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0039 EP Testing Requirements Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0246 COVID-19 Vaccination of Facility Staff Standard