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
▼ 49C0001081 Stone Springs Ambulatory Surgicenter Llc 24570 Medical Drive Dulles VA 3 (Philadelphia) 06/30/2026 2376BD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0355 Portable Fire Extinguishers Standard
▼ 49C0001107 Danville Gastroenterology Center Pc 600 Cleveland St Danville VA 3 (Philadelphia) 12/12/2023 61ADF-H1 Focused Infection Control, Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0065 PHYSICIAN EVALUATION OF RISK Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 49C0001112 Inova Oakville Ambulatory Surgery Center, Llc 400 Fannon Street, Suite 200 Alexandria VA 3 (Philadelphia) 04/16/2025 65E1A-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
Q0266 DISCHARGE - ORDER Standard
▼ 49C0001113 Endoscopy Center Of Southwest Virginia Llc 204 Duke Of Gloucester St Sw Roanoke VA 3 (Philadelphia) 04/09/2025 65C98-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
▼ 49C0001113 Endoscopy Center Of Southwest Virginia Llc 204 Duke Of Gloucester St Sw Roanoke VA 3 (Philadelphia) 04/09/2025 65C98-L1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0022 Policies/Procedures for Sheltering in Place Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0037 EP Training Program Standard
▼ 50C0001003 Proliance Surgeons Inc 502 South M Street Tacoma WA 10 (Seattle) 01/16/2018 JYFD21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0311 Vertical Openings - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 50C0001011 Pacific Cataract & Laser Institute 2517 Ne Kresky Avenue Chehalis WA 10 (Seattle) 03/03/2023 LQV7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 50C0001011 Pacific Cataract & Laser Institute 2517 Ne Kresky Avenue Chehalis WA 10 (Seattle) 03/03/2023 ODJM-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 50C0001011 Pacific Cataract & Laser Institute 2517 Ne Kresky Avenue Chehalis WA 10 (Seattle) 10/02/2020 LLZD11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 50C0001011 Pacific Cataract & Laser Institute 2517 Ne Kresky Avenue Chehalis WA 10 (Seattle) 02/20/2018 3WAJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard