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
▼ 23C0001027 Lake Lansing Asc Partners, Llc 1707 Lake Lansing Road Lansing MI 5 (Chicago) 08/10/2022 4F285-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 23C0001027 Lake Lansing Asc Partners, Llc 1707 Lake Lansing Road Lansing MI 5 (Chicago) 08/10/2022 4F285-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0904 Gas and Vacuum Piped Systems ? Warning Systems Standard
▼ 23C0001028 Endoscopy And Surgery Center At Woodbridge Hills 7901 Angling Rd Portage MI 5 (Chicago) 06/17/2025 66639-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0080 QUALITY ASSESSMENT AND PERFORMANCE Condition
Q0100 ENVIRONMENT Condition
Q0219 PATIENT RIGHTS Condition
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 23C0001028 Endoscopy And Surgery Center At Woodbridge Hills 7901 Angling Rd Portage MI 5 (Chicago) 06/16/2025 66639-L1 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
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
▼ 23C0001028 Endoscopy And Surgery Center At Woodbridge Hills 7901 Angling Rd Portage MI 5 (Chicago) 02/20/2020 K8U311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0001 BASIC REQUIREMENTS Condition
Q0100 ENVIRONMENT Condition
Q0002 DEFINITIONS Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 23C0001028 Endoscopy And Surgery Center At Woodbridge Hills 7901 Angling Rd Portage MI 5 (Chicago) 02/20/2020 K8U321 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0355 Portable Fire Extinguishers Standard
K0371 Subdivision of Building Spaces ? Smoke Compartments Standard
K0907 Gas and Vacuum Piped Systems ? Central Supply System Location Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 23C0001030 Grand Valley Surgical Center, L L C 2680 Leonard Street Ne Grand Rapids MI 5 (Chicago) 12/19/2023 61BB5-H1 Complaint, 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
▼ 23C0001030 Grand Valley Surgical Center, L L C 2680 Leonard Street Ne Grand Rapids MI 5 (Chicago) 12/19/2023 61BB5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 23C0001030 Grand Valley Surgical Center, L L C 2680 Leonard Street Ne Grand Rapids MI 5 (Chicago) 02/15/2018 WLG511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0001 BASIC REQUIREMENTS Condition
Q0100 ENVIRONMENT Condition
Q0240 INFECTION CONTROL Condition
Q0002 DEFINITIONS Standard
Q0101 PHYSICIAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 23C0001030 Grand Valley Surgical Center, L L C 2680 Leonard Street Ne Grand Rapids MI 5 (Chicago) 02/13/2018 WLG521 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard