S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
06C0001005 Novamed Surgery Center Of Denver Llc 3535 S Lafayette St Ste 200 Englewood CO 8 (Denver) 04/27/2023 5E67B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0161 Building Construction Type and Height Standard
K0233 Clear Width of Exit and Exit Access Doors Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0712 Fire Drills Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0929 Gas Equipment ? Precautions for Handling Oxygen Standard
06C0001005 Novamed Surgery Center Of Denver Llc 3535 S Lafayette St Ste 200 Englewood CO 8 (Denver) 04/13/2023 5E67B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0020 COMPLIANCE WITH STATE LICENSURE LAW Condition
Q0100 ENVIRONMENT Condition
Q0109 EMERGENCY EQUIPMENT Standard
06C0001005 Novamed Surgery Center Of Denver Llc 3535 S Lafayette St Ste 200 Englewood CO 8 (Denver) 01/11/2019 WTUE21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
06C0001005 Novamed Surgery Center Of Denver Llc 3535 S Lafayette St Ste 200 Englewood CO 8 (Denver) 12/19/2018 WTUE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0232 SAFETY Standard
06C0001011 William G. Self, Jr., M.D., P.C. 8403 Bryant St Westminster CO 8 (Denver) 07/18/2023 5E67D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0712 Fire Drills Standard
06C0001011 William G. Self, Jr., M.D., P.C. 8403 Bryant St Westminster CO 8 (Denver) 06/22/2023 5E67D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
Q0020 COMPLIANCE WITH STATE LICENSURE LAW Condition
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0100 ENVIRONMENT Condition
Q0140 NURSING SERVICES Condition
Q0160 MEDICAL RECORDS Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0219 PATIENT RIGHTS Condition
Q0240 INFECTION CONTROL Condition
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
06C0001011 William G. Self, Jr., M.D., P.C. 8403 Bryant St Westminster CO 8 (Denver) 02/12/2019 LCW321 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
06C0001011 William G. Self, Jr., M.D., P.C. 8403 Bryant St Westminster CO 8 (Denver) 01/16/2019 LCW311 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
Q0221 NOTICE OF RIGHTS Standard
Q0241 SANITARY ENVIRONMENT Standard
06C0001012 Littleton Day Surgery Center, Llc 8381 Southpark Ln Littleton CO 8 (Denver) 01/08/2025 64F51-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0712 Fire Drills Standard
K0913 Electrical Systems - Wet Procedure Locations Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
06C0001012 Littleton Day Surgery Center, Llc 8381 Southpark Ln Littleton CO 8 (Denver) 12/20/2024 64F51-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
Q0241 SANITARY ENVIRONMENT Standard