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
14C0001095 Rush-Copley Surgicenter Llc 2111 Ogden Ave Aurora IL 5 (Chicago) 05/02/2023 5F88E-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
Q0240 INFECTION CONTROL Condition
Q0104 SAFETY FROM FIRE Standard
Q0241 SANITARY ENVIRONMENT Standard
14C0001095 Rush-Copley Surgicenter Llc 2111 Ogden Ave Aurora IL 5 (Chicago) 05/02/2023 5F88E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
K0912 Electrical Systems - Receptacles Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
14C0001095 Rush-Copley Surgicenter Llc 2111 Ogden Ave Aurora IL 5 (Chicago) 03/05/2019 E6K211 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
E0009 Local, State, Tribal Collaboration Process Standard
E0039 EP Testing Requirements Standard
Q0104 SAFETY FROM FIRE Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
14C0001095 Rush-Copley Surgicenter Llc 2111 Ogden Ave Aurora IL 5 (Chicago) 03/05/2019 E6K221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0351 Sprinkler System - Installation Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
14C0001097 Southwest Ambulatory Surgery Center 18200 S La Grange Road Tinley Park IL 5 (Chicago) 09/14/2021 RPUS11 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
14C0001097 Southwest Ambulatory Surgery Center 18200 S La Grange Road Tinley Park IL 5 (Chicago) 09/14/2021 RPUS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0341 Fire Alarm System - Installation Standard
K0351 Sprinkler System - Installation Standard
K0911 Electrical Systems - Other Standard
14C0001101 Oak Surgical Institute 403 South Kennedy Drive Bradley IL 5 (Chicago) 12/26/2018 698711 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
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
14C0001101 Oak Surgical Institute 403 South Kennedy Drive Bradley IL 5 (Chicago) 12/26/2018 698721 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
14C0001103 Advanced Ambulatory Surgical Center, Inc 2333 N Harlem Ave Chicago IL 5 (Chicago) 05/27/2021 KZBX11 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
Q0240 INFECTION CONTROL Condition
Q0104 SAFETY FROM FIRE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
14C0001103 Advanced Ambulatory Surgical Center, Inc 2333 N Harlem Ave Chicago IL 5 (Chicago) 05/27/2021 KZBX21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard