S&C QCOR ASC 2567s
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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
▼ 16C0001016 Outpatient Surgery Center Of Cedar Rapids Llc 1075 1st Avenue Se Cedar Rapids IA 7 (Kansas City) 09/16/2024 6420E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 16C0001025 Surgery Centers Of Des Moines 5901 Westown Parkway Ste 100 West Des Moines IA 7 (Kansas City) 09/10/2024 6408C-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
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 16C0001025 Surgery Centers Of Des Moines 5901 Westown Parkway Ste 100 West Des Moines IA 7 (Kansas City) 09/05/2024 6408C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 16C0001025 Surgery Centers Of Des Moines 5901 Westown Parkway Ste 100 West Des Moines IA 7 (Kansas City) 09/23/2020 FLLW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0346 Fire Alarm System - Out of Service Standard
K0354 Sprinkler System - Out of Service Standard
▼ 16C0001025 Surgery Centers Of Des Moines 5901 Westown Parkway Ste 100 West Des Moines IA 7 (Kansas City) 09/16/2020 FLLW11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 16C0001026 West Lakes Surgery Center Llc 12499 University Avenue Suite 100 Clive IA 7 (Kansas City) 06/26/2025 667F6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 16C0001026 West Lakes Surgery Center Llc 12499 University Avenue Suite 100 Clive IA 7 (Kansas City) 05/11/2022 4EA07-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 16C0001026 West Lakes Surgery Center Llc 12499 University Avenue Suite 100 Clive IA 7 (Kansas City) 03/27/2019 FIHP21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0346 Fire Alarm System - Out of Service Standard
K0354 Sprinkler System - Out of Service Standard
▼ 16C0001026 West Lakes Surgery Center Llc 12499 University Avenue Suite 100 Clive IA 7 (Kansas City) 03/21/2019 FIHP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 16C0001028 Pierce Street Same Day Surgery 2730 Pierce Street Sioux City IA 7 (Kansas City) 08/26/2025 1D4CC5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0245 INFECTION CONTROL PROGRAM Standard