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
06C0001110 Harvard Park Surgery Center 1000 E Harvard Ave Denver CO 8 (Denver) 06/12/2023 5E681-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0343 Fire Alarm System - Notification Standard
K0353 Sprinkler System - Maintenance and Testing Standard
06C0001110 Harvard Park Surgery Center 1000 E Harvard Ave Denver CO 8 (Denver) 05/17/2023 5E681-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0241 SANITARY ENVIRONMENT Standard
06C0001110 Harvard Park Surgery Center 1000 E Harvard Ave Denver CO 8 (Denver) 07/03/2019 UE4N21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0712 Fire Drills Standard
06C0001111 Rose Ambulatory Surgery Center, L.P. 4700 Hale Pkwy Denver CO 8 (Denver) 08/12/2024 63CDB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0331 Interior Wall and Ceiling Finish Standard
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0711 Evacuation and Relocation Plan Standard
K0712 Fire Drills Standard
K0741 Smoking Regulations Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
06C0001111 Rose Ambulatory Surgery Center, L.P. 4700 Hale Pkwy Denver CO 8 (Denver) 07/30/2024 63CDB-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
06C0001111 Rose Ambulatory Surgery Center, L.P. 4700 Hale Pkwy Denver CO 8 (Denver) 09/03/2021 CG3W21 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
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0511 Utilities - Gas and Electric Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
06C0001111 Rose Ambulatory Surgery Center, L.P. 4700 Hale Pkwy Denver CO 8 (Denver) 08/18/2021 CG3W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
06C0001113 Lutheran Campus Asc, Llc 12905 W 40th Ave Golden CO 8 (Denver) 03/06/2024 625EF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0260 PATIENT ADMISSION, ASSESSMENT AND DISCHARGE Condition
Q0264 POST-SURGICAL ASSESSMENT Standard
06C0001113 Lutheran Campus Asc, Llc 12905 W 40th Ave Golden CO 8 (Denver) 10/04/2018 MG4L11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0240 INFECTION CONTROL Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0241 SANITARY ENVIRONMENT Standard
06C0001114 Arkansas Valley Surgery Center 933 Sell Ave Canon City CO 8 (Denver) 06/04/2024 61799-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard