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
▼ 49C0001039 Prince William Ambulatory Surgery Center, Llc 8644 Sudley Road, Suite 201 Manassas VA 3 (Philadelphia) 05/29/2024 6331C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
Q0042 HOSPITALIZATION Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 49C0001039 Prince William Ambulatory Surgery Center, Llc 8644 Sudley Road, Suite 201 Manassas VA 3 (Philadelphia) 12/02/2021 81VO21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0163 Interior Nonbearing Wall Construction Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 49C0001042 Virginia Surgery Center, Llc 200 Corporate Blvd, Suite 200 Norfolk VA 3 (Philadelphia) 12/03/2024 64D06-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 49C0001042 Virginia Surgery Center, Llc 200 Corporate Blvd, Suite 200 Norfolk VA 3 (Philadelphia) 12/03/2024 64D06-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
▼ 49C0001042 Virginia Surgery Center, Llc 200 Corporate Blvd, Suite 200 Norfolk VA 3 (Philadelphia) 03/18/2021 OMQG21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0161 Building Construction Type and Height Standard
K0291 Emergency Lighting Standard
K0700 Operating Features - Other Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 49C0001042 Virginia Surgery Center, Llc 200 Corporate Blvd, Suite 200 Norfolk VA 3 (Philadelphia) 03/16/2021 OMQG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 49C0001043 Inova Loudoun Ambulatory Surgery Center, Llc 44035 Riverside Parkway, Suite 200 Leesburg VA 3 (Philadelphia) 05/15/2024 631EA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 49C0001043 Inova Loudoun Ambulatory Surgery Center, Llc 44035 Riverside Parkway, Suite 200 Leesburg VA 3 (Philadelphia) 05/14/2024 631EA-L1 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
E0013 Development of EP Policies and Procedures Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
E0042 Integrated EP Program Standard
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 49C0001043 Inova Loudoun Ambulatory Surgery Center, Llc 44035 Riverside Parkway, Suite 200 Leesburg VA 3 (Philadelphia) 02/05/2021 FS5821 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
K0919 Electrical Equipment - Other Standard
▼ 49C0001043 Inova Loudoun Ambulatory Surgery Center, Llc 44035 Riverside Parkway, Suite 200 Leesburg VA 3 (Philadelphia) 01/27/2021 FS5811 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0266 DISCHARGE - ORDER Standard