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
▼ 49C0001018 Surgery Center Of Central Virginia, Inc 1835 Graves Mill Road Suite 2 Forest VA 3 (Philadelphia) 07/19/2018 ODQK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0184 VERBAL ORDERS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 49C0001018 Surgery Center Of Central Virginia, Inc 1835 Graves Mill Road Suite 2 Forest VA 3 (Philadelphia) 07/19/2018 ODQK21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0901 Fundamentals - Building System Categories Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 49C0001022 Franconia-Springfield Surgery Center, Llc 6355 Walker Lane, Suite 200 Alexandria VA 3 (Philadelphia) 06/24/2025 66588-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0032 Primary/Alternate Means for Communication Standard
E0039 EP Testing Requirements Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 49C0001022 Franconia-Springfield Surgery Center, Llc 6355 Walker Lane, Suite 200 Alexandria VA 3 (Philadelphia) 06/24/2025 66588-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0919 Electrical Equipment - Other Standard
▼ 49C0001022 Franconia-Springfield Surgery Center, Llc 6355 Walker Lane, Suite 200 Alexandria VA 3 (Philadelphia) 06/28/2022 4EE5F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0246 COVID-19 Vaccination of Facility Staff Standard
▼ 49C0001022 Franconia-Springfield Surgery Center, Llc 6355 Walker Lane, Suite 200 Alexandria VA 3 (Philadelphia) 03/07/2019 WTUK21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0161 Building Construction Type and Height Standard
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0355 Portable Fire Extinguishers Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 49C0001022 Franconia-Springfield Surgery Center, Llc 6355 Walker Lane, Suite 200 Alexandria VA 3 (Philadelphia) 02/28/2019 WTUK11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 49C0001023 Surgery Center Of Lynchburg, Llc 2401 Atherholt Road Lynchburg VA 3 (Philadelphia) 01/21/2026 1E2A3B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
▼ 49C0001023 Surgery Center Of Lynchburg, Llc 2401 Atherholt Road Lynchburg VA 3 (Philadelphia) 01/21/2026 1E2A3B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
▼ 49C0001023 Surgery Center Of Lynchburg, Llc 2401 Atherholt Road Lynchburg VA 3 (Philadelphia) 08/28/2019 HW7B21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0511 Utilities - Gas and Electric Standard
K0712 Fire Drills Standard