S&C QCOR ASC 2567s
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ASCs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. 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).

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
▼ 14C0001140 Central Illinois Endoscopy Center, Llc 1001 Main St, Suite 500b Peoria IL 5 (Chicago) 09/27/2024 640AF-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0233 Clear Width of Exit and Exit Access Doors Standard
K0271 Discharge from Exits Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 14C0001141 Ritacca Laser Center, Ltd. 230 Center Drive Vernon Hills IL 5 (Chicago) 09/22/2022 4F55E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0161 Building Construction Type and Height Standard
K0222 Egress Doors Standard
K0223 Doors with Self-Closing Devices Standard
K0311 Vertical Openings - Enclosure Standard
▼ 14C0001141 Ritacca Laser Center, Ltd. 230 Center Drive Vernon Hills IL 5 (Chicago) 09/21/2022 4F55E-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
Q0162 FORM AND CONTENT OF RECORD Standard
Q0266 DISCHARGE - ORDER Standard
▼ 14C0001149 Dmg Pain Management Surgery Center 2940 Rolling Ridge, Suite 200 Naperville IL 5 (Chicago) 12/11/2018 IB2N11 Recertification, Sample Validation
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
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 14C0001149 Dmg Pain Management Surgery Center 2940 Rolling Ridge, Suite 200 Naperville IL 5 (Chicago) 12/11/2018 IB2N21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0161 Building Construction Type and Height Standard
K0241 Number of Exits - Story and Compartment Standard
K0291 Emergency Lighting Standard
K0311 Vertical Openings - Enclosure Standard
K0343 Fire Alarm System - Notification Standard
K0712 Fire Drills Standard
K0915 Essential Electrical Systems ? Type 1 and Type 2 Standard
▼ 14C0001151 Orthotec Surgery Center Inc 340 West Butterfield Rd, Suite 1b Elmhurst IL 5 (Chicago) 06/16/2021 8MYL11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0240 INFECTION CONTROL Condition
Q0242 INFECTION CONTROL PROGRAM Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0244 INFECTION CONTROL PROGRAM - QAPI Standard
Q0245 INFECTION CONTROL PROGRAM Standard
▼ 14C0001154 Gold Coast Surgicenter, Llc 845 North Michigan Ave Chicago IL 5 (Chicago) 12/18/2023 61903-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
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 14C0001154 Gold Coast Surgicenter, Llc 845 North Michigan Ave Chicago IL 5 (Chicago) 12/18/2023 61903-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 14C0001154 Gold Coast Surgicenter, Llc 845 North Michigan Ave Chicago IL 5 (Chicago) 12/17/2019 J78911 Recertification, Sample Validation
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
E0009 Local, State, Tribal Collaboration Process Standard
E0039 EP Testing Requirements Standard
Q0104 SAFETY FROM FIRE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 14C0001155 Barrington Ambulatory Surgery Center 600 Hart Rd, Suite 300 Barrington IL 5 (Chicago) 08/26/2024 63CAC-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
Q0242 INFECTION CONTROL PROGRAM Standard