Most Common CMS Deficiencies for Ambulatory Surgery Centers

Most Common CMS Deficiencies for Ambulatory Surgery Centers

Two of the top four CMS deficiencies in Ambulatory Surgery Centers last year were related to medication management.

As we know, medication management citations fall under various sections of the CMS requirements (Conditions For Coverage). There isn’t just one single section on medications in the CMS document, so knowing your way around the requirements is essential to ensure compliance with each element of safe medication management. How does your facility handle compliance with CMS requirements? Do you know where most of the requirements are found?

What were the most common CMS deficiencies in ASCs?

  1. Sanitary Environment
  2. Infection Control Program
  3. Environment
  4. Administration of Drugs

It’s not hard to see that number 4 (Administration of Drugs) is directly related to medication management, but did you know that many of the deficiencies involving medication management are cited under number 2 (Infection Control Program)? That’s because safe injection practices fall under the category of infection control.

In this week’s client newsletter, we provide details on the most common deficiencies and give you specific examples of deficient practices. We conclude by providing practical guidance to keep your patients safe and your facility compliant.

If you have questions on any of the CMS requirements or would like to become a client, please reach out to us.

The Consultant Pharmacists at OctariusRx provide guidance on safe medication management, survey readiness and cost savings to ambulatory healthcare facilities/surgery centerssenior care facilities and pharmacies. We also help individual patients optimize their medications to improve their quality of life and save money. Contact us for assistance.


Any health, medical or drug information on the Web Site is for informational purposes only. This information is not intended to be used, and you should not use it, as a substitute for obtaining professional healthcare advice, diagnosis or treatment. You should always seek the advice of your doctor, a pharmacist or other qualified healthcare provider for professional healthcare advice, diagnosis or treatment for any medical condition.