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
15C0001175 Advanced Ambulatory Surgery Center Llc 1101 Professional Blvd Suite 104 Evansville IN 5 (Chicago) 10/20/2020 LHJ021 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
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
15C0001175 Advanced Ambulatory Surgery Center Llc 1101 Professional Blvd Suite 104 Evansville IN 5 (Chicago) 10/14/2020 LHJ011 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0241 SANITARY ENVIRONMENT Standard
15C0001175 Advanced Ambulatory Surgery Center Llc 1101 Professional Blvd Suite 104 Evansville IN 5 (Chicago) 08/30/2018 SQEM11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
15C0001176 The Centre Llc 611 E Douglas Rd Ste 108a Mishawaka IN 5 (Chicago) 04/12/2023 5F797-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
15C0001176 The Centre Llc 611 E Douglas Rd Ste 108a Mishawaka IN 5 (Chicago) 07/15/2019 1YX621 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
E0039 EP Testing Requirements Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
15C0001177 Indiana University Health Ambulatory Surgery Centers, Llc 550 N University Blve, Suite 4100 Indianapolis IN 5 (Chicago) 07/25/2023 605FB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
15C0001177 Indiana University Health Ambulatory Surgery Centers, Llc 550 N University Blve, Suite 4100 Indianapolis IN 5 (Chicago) 07/25/2023 605FB-L1 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
K0223 Doors with Self-Closing Devices Standard
K0300 Protection - Other Standard
K0341 Fire Alarm System - Installation Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
15C0001177 Indiana University Health Ambulatory Surgery Centers, Llc 550 N University Blve, Suite 4100 Indianapolis IN 5 (Chicago) 08/26/2019 YEYO21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
15C0001177 Indiana University Health Ambulatory Surgery Centers, Llc 550 N University Blve, Suite 4100 Indianapolis IN 5 (Chicago) 08/07/2019 YEYO11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0041 CONTRACT SERVICES Standard
Q0104 SAFETY FROM FIRE Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0241 SANITARY ENVIRONMENT Standard
15C0001178 Indiana University Health Ambulatory Surgery Centers, Llc 13100 East 136th Street Ste 1100 Fishers IN 5 (Chicago) 02/19/2024 6233D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0300 Protection - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard