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
14C0001105 Marion Healthcare Llc 3003 Civic Circle Blvd Ste 100 Marion IL 5 (Chicago) 08/01/2024 63723-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
Q0180 PHARMACEUTICAL SERVICES Condition
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
14C0001105 Marion Healthcare Llc 3003 Civic Circle Blvd Ste 100 Marion IL 5 (Chicago) 08/01/2024 63723-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0905 Gas and Vacuum Piped Systems ? Central Supply System Identification and Labeling Standard
K0912 Electrical Systems - Receptacles Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
14C0001105 Marion Healthcare Llc 3003 Civic Circle Blvd Ste 100 Marion IL 5 (Chicago) 12/20/2019 JHZ811 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
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
14C0001105 Marion Healthcare Llc 3003 Civic Circle Blvd Ste 100 Marion IL 5 (Chicago) 12/19/2019 JHZ821 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
14C0001106 Deerpath Orthopedic Surgical Center, Llc 1051 West Route 6 Morris IL 5 (Chicago) 02/01/2022 759S11 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
Q0100 ENVIRONMENT Condition
E0004 Develop EP Plan, Review and Update Annually Standard
Q0104 SAFETY FROM FIRE Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
14C0001106 Deerpath Orthopedic Surgical Center, Llc 1051 West Route 6 Morris IL 5 (Chicago) 02/01/2022 759S21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0344 Fire Alarm - Control Functions Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0355 Portable Fire Extinguishers Standard
K0521 HVAC Standard
K0711 Evacuation and Relocation Plan Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
14C0001107 Willow Springs Surgery Center Ltd 9050 W 81st Street Justice IL 5 (Chicago) 08/01/2023 607FB-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0029 Development of Communication Plan Standard
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0104 SAFETY FROM FIRE Standard
Q0221 NOTICE OF RIGHTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0266 DISCHARGE - ORDER Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
14C0001107 Willow Springs Surgery Center Ltd 9050 W 81st Street Justice IL 5 (Chicago) 08/01/2023 607FB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0281 Illumination of Means of Egress Standard
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills 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
14C0001107 Willow Springs Surgery Center Ltd 9050 W 81st Street Justice IL 5 (Chicago) 06/25/2019 5C3P11 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
Q0100 ENVIRONMENT Condition
Q0240 INFECTION CONTROL Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
14C0001107 Willow Springs Surgery Center Ltd 9050 W 81st Street Justice IL 5 (Chicago) 06/25/2019 5C3P21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0344 Fire Alarm - Control Functions Standard
K0351 Sprinkler System - Installation Standard
K0911 Electrical Systems - Other Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
K0916 Essential Electrical Systems ? Alarm Annunciator Standard