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
▼ 49C0001049 Bon Secours Surgery Center At Harbourview 5818 Harbourview Blvd, Suite 102 Suffolk VA 3 (Philadelphia) 09/10/2025 1D5E90-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 49C0001049 Bon Secours Surgery Center At Harbourview 5818 Harbourview Blvd, Suite 102 Suffolk VA 3 (Philadelphia) 03/01/2023 5EEB6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 49C0001049 Bon Secours Surgery Center At Harbourview 5818 Harbourview Blvd, Suite 102 Suffolk VA 3 (Philadelphia) 09/18/2018 8HNL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
▼ 49C0001049 Bon Secours Surgery Center At Harbourview 5818 Harbourview Blvd, Suite 102 Suffolk VA 3 (Philadelphia) 08/23/2018 8HNL21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 49C0001051 Fairlawn Surgery Center, Llc 2030 Stephenson Avenue Sw Roanoke VA 3 (Philadelphia) 11/29/2021 YWE521 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 49C0001051 Fairlawn Surgery Center, Llc 2030 Stephenson Avenue Sw Roanoke VA 3 (Philadelphia) 02/11/2019 JQ6B21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0901 Fundamentals - Building System Categories Standard
K0903 Gas and Vacuum Piped Systems - Categories Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
K0924 Electrical Equipment ? Wet Procedure Locations Standard
▼ 49C0001051 Fairlawn Surgery Center, Llc 2030 Stephenson Avenue Sw Roanoke VA 3 (Philadelphia) 02/01/2019 JQ6B11 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
▼ 49C0001052 Northern Virginia Eye Surgery Center, Llc 2710 Prosperity Ave, Suite 150 Fairfax VA 3 (Philadelphia) 06/22/2021 VRNX21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0523 HVAC - Suspended Unit Heaters Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 49C0001052 Northern Virginia Eye Surgery Center, Llc 2710 Prosperity Ave, Suite 150 Fairfax VA 3 (Philadelphia) 03/30/2021 VRNX11 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
Q0180 PHARMACEUTICAL SERVICES Condition
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 49C0001055 Northern Virginia Surgery Center, Llc 3620 Joseph Siewick Drive, Suite 202 Fairfax VA 3 (Philadelphia) 04/16/2024 62D09-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard