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
▼ 23C0001032 Surgical Services Of Michigan, Llc 2775 Blake Road Jackson MI 5 (Chicago) 09/19/2022 4F5D9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
▼ 23C0001032 Surgical Services Of Michigan, Llc 2775 Blake Road Jackson MI 5 (Chicago) 09/19/2022 4F5D9-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 23C0001032 Surgical Services Of Michigan, Llc 2775 Blake Road Jackson MI 5 (Chicago) 01/23/2019 S68V11 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
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 23C0001033 Brookside Surgery Center 3600 W. Capital Avenue S.W., Suite 101 Battle Creek MI 5 (Chicago) 04/24/2025 65EF9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0180 PHARMACEUTICAL SERVICES Condition
Q0104 SAFETY FROM FIRE Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 23C0001033 Brookside Surgery Center 3600 W. Capital Avenue S.W., Suite 101 Battle Creek MI 5 (Chicago) 04/23/2025 65EF9-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0341 Fire Alarm System - Installation Standard
K0344 Fire Alarm - Control Functions Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 23C0001033 Brookside Surgery Center 3600 W. Capital Avenue S.W., Suite 101 Battle Creek MI 5 (Chicago) 11/19/2019 VNVY11 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
Q0180 PHARMACEUTICAL SERVICES Condition
Q0219 PATIENT RIGHTS Condition
Q0240 INFECTION CONTROL Condition
E0039 EP Testing Requirements Standard
Q0002 DEFINITIONS Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0161 ORGANIZATION Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 23C0001033 Brookside Surgery Center 3600 W. Capital Avenue S.W., Suite 101 Battle Creek MI 5 (Chicago) 11/19/2019 VNVY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0711 Evacuation and Relocation Plan Standard
K0909 Gas and Vacuum Piped Systems ? Central Supply System Valves Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 23C0001035 Michigan Surgical Center 2075 Coolidge Road East Lansing MI 5 (Chicago) 02/15/2018 W81011 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 23C0001036 Genesee Care Llc 5202 Miller Rd Flint MI 5 (Chicago) 08/24/2018 6SCB11 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
▼ 23C0001040 American Surgical Centers 7091 Orchard Lake Road West Bloomfield MI 5 (Chicago) 06/01/2023 5F9FF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0101 PHYSICAL ENVIRONMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard