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
24C0001042 Southwest Surgical Center, Llc 8100 West 78th Street, Suite 220 Edina MN 5 (Chicago) 05/22/2024 62BE7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0711 Evacuation and Relocation Plan Standard
K0712 Fire Drills Standard
K0901 Fundamentals - Building System Categories Standard
24C0001043 Minnesota Eye Institute 3401 South Broadway Alexandria MN 5 (Chicago) 08/27/2024 639EB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
24C0001044 Mngi Endoscopy Eagan 1185 Town Center Drive Suite 200 Eagan MN 5 (Chicago) 06/20/2019 19JO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
24C0001045 Nura Surgical Centers, Llc 7400 France Avenue Suite 102 Edina MN 5 (Chicago) 03/11/2025 655D5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0220 NOTICE - POSTING Standard
24C0001045 Nura Surgical Centers, Llc 7400 France Avenue Suite 102 Edina MN 5 (Chicago) 03/11/2025 655D5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0291 Emergency Lighting Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
24C0001048 Tria Orthopedic Ctr Llc 8100 Northland Drive Bloomington MN 5 (Chicago) 03/27/2025 655C2-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
Q0221 NOTICE OF RIGHTS Standard
24C0001049 Mankato Clinic Endoscopy Center 1230 East Main Street Po Box 8674 Mankato MN 5 (Chicago) 12/18/2024 64B06-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
24C0001051 Family Surgery Center Llc 1801 19th Avenue Sw Willmar MN 5 (Chicago) 08/14/2024 639E8-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0511 Utilities - Gas and Electric Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0901 Fundamentals - Building System Categories Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
24C0001051 Family Surgery Center Llc 1801 19th Avenue Sw Willmar MN 5 (Chicago) 08/13/2024 639E8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
24C0001053 Essentia Health Surgery Centers Minnesota Llc 1542 Golf Course Road Suite 105 Grand Rapids MN 5 (Chicago) 11/15/2019 SFQY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0018 Procedures for Tracking of Staff and Patients Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
Q0104 SAFETY FROM FIRE Standard
Q0161 ORGANIZATION Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0232 SAFETY Standard
Q0242 INFECTION CONTROL PROGRAM Standard