S&C QCOR ASC 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ASCs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

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
15C0001099 Muncie Cataract & Laser Eye Center Llc 3300 W Purdue Ave Muncie IN 5 (Chicago) 08/30/2018 XLEY11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0123 OTHER PRACTITIONERS Standard
Q0228 EXERCISE OF RIGHTS - GRIEVANCES Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
15C0001100 Apac Surgical Center Ii, Llc 11460 S Broadway Crown Point IN 5 (Chicago) 08/15/2024 63BD7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
15C0001100 Apac Surgical Center Ii, Llc 11460 S Broadway Crown Point IN 5 (Chicago) 08/15/2024 63BD7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0521 HVAC Standard
15C0001100 Apac Surgical Center Ii, Llc 11460 S Broadway Crown Point IN 5 (Chicago) 01/20/2021 4Z4L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
K0341 Fire Alarm System - Installation Standard
15C0001102 Vision Surgical Center At Springhill Inc. 302 W 14th St Ste 100 B Jeffersonville IN 5 (Chicago) 08/23/2023 60B70-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0109 EMERGENCY EQUIPMENT Standard
15C0001102 Vision Surgical Center At Springhill Inc. 302 W 14th St Ste 100 B Jeffersonville IN 5 (Chicago) 08/23/2023 60B70-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0346 Fire Alarm System - Out of Service Standard
K0354 Sprinkler System - Out of Service Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
15C0001102 Vision Surgical Center At Springhill Inc. 302 W 14th St Ste 100 B Jeffersonville IN 5 (Chicago) 12/03/2019 UN9E21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
15C0001102 Vision Surgical Center At Springhill Inc. 302 W 14th St Ste 100 B Jeffersonville IN 5 (Chicago) 11/07/2019 UN9E11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0104 SAFETY FROM FIRE Standard
Q0108 BUILDING SAFETY Standard
Q0141 ORGANIZATION AND STAFFING Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
15C0001103 Saint Charles Surgical Pavillion Inc 1900 Saint Charles St Jasper IN 5 (Chicago) 03/10/2022 GS5O21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0341 Fire Alarm System - Installation Standard
K0351 Sprinkler System - Installation Standard
K0712 Fire Drills Standard
K0911 Electrical Systems - Other Standard
15C0001103 Saint Charles Surgical Pavillion Inc 1900 Saint Charles St Jasper IN 5 (Chicago) 02/22/2022 GS5O11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0229 EXERCISE OF RIGHTS - INFORMED CONSENT Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard