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
14C0001063 Loyola Univ Ambulatory Surgery Center 2160 S 1st Ave Maywood IL 5 (Chicago) 11/17/2022 5E402-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0241 SANITARY ENVIRONMENT Standard
14C0001063 Loyola Univ Ambulatory Surgery Center 2160 S 1st Ave Maywood IL 5 (Chicago) 12/27/2018 VE7V11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0242 INFECTION CONTROL PROGRAM Standard
14C0001063 Loyola Univ Ambulatory Surgery Center 2160 S 1st Ave Maywood IL 5 (Chicago) 12/27/2018 VE7V21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0351 Sprinkler System - Installation Standard
K0521 HVAC Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard
14C0001065 Bel Clair Astc 325 W Lincoln Belleville IL 5 (Chicago) 07/25/2024 63720-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
14C0001065 Bel Clair Astc 325 W Lincoln Belleville IL 5 (Chicago) 07/25/2024 63720-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
14C0001065 Bel Clair Astc 325 W Lincoln Belleville IL 5 (Chicago) 09/19/2019 DJUE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
14C0001067 Center For Surgery, The 475 E Diehl Rd Naperville IL 5 (Chicago) 03/01/2018 0NGU21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0281 Illumination of Means of Egress Standard
K0321 Hazardous Areas - Enclosure Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0917 Electrical Systems - Essential Electric Syste Standard
14C0001069 Rockford Ambulatory Surgery Center 1016 Featherstone Rd Rockford IL 5 (Chicago) 08/31/2022 4F27A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard
14C0001069 Rockford Ambulatory Surgery Center 1016 Featherstone Rd Rockford IL 5 (Chicago) 08/31/2022 4F27A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0912 Electrical Systems - Receptacles Standard
14C0001069 Rockford Ambulatory Surgery Center 1016 Featherstone Rd Rockford IL 5 (Chicago) 05/14/2018 QEG121 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard