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
24C0001053 Essentia Health Surgery Centers Minnesota Llc 1542 Golf Course Road Suite 105 Grand Rapids MN 5 (Chicago) 11/13/2019 SFQY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0311 Vertical Openings - Enclosure Standard
K0346 Fire Alarm System - Out of Service Standard
K0354 Sprinkler System - Out of Service Standard
K0712 Fire Drills Standard
K0901 Fundamentals - Building System Categories Standard
24C0001055 Associated Eye Care Ambulatory Surgery Center Llc 2950 Curve Crest Boulevard Stillwater MN 5 (Chicago) 02/19/2025 65152-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0081 PROGRAM SCOPE; PROGRAM ACTIVITIES Standard
24C0001055 Associated Eye Care Ambulatory Surgery Center Llc 2950 Curve Crest Boulevard Stillwater MN 5 (Chicago) 02/19/2025 65152-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0521 HVAC Standard
K0712 Fire Drills Standard
K0901 Fundamentals - Building System Categories Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
24C0001056 Minnesota Valley Surgery Center 1000 140th Street West Suite 102 Burnsville MN 5 (Chicago) 04/22/2025 6597E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
24C0001057 Minnesota Vascular Surgery Center Llc 600 County Road D New Brighton MN 5 (Chicago) 02/26/2025 6514E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0311 Vertical Openings - Enclosure Standard
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0521 HVAC Standard
24C0001058 Crossroads Surgery Center 1575 20th Street Northwest #203 Faribault MN 5 (Chicago) 08/28/2025 1D0DFB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
24C0001058 Crossroads Surgery Center 1575 20th Street Northwest #203 Faribault MN 5 (Chicago) 08/26/2025 1D0DFB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
24C0001058 Crossroads Surgery Center 1575 20th Street Northwest #203 Faribault MN 5 (Chicago) 05/09/2018 LWQU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0240 INFECTION CONTROL Condition
Q0041 CONTRACT SERVICES Standard
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0084 GOVERNING BODY RESPONSIBILITIES Standard
Q0104 SAFETY FROM FIRE Standard
Q0106 EMERGENCY PERSONNEL Standard
Q0123 OTHER PRACTITIONERS Standard
Q0233 SAFETY - ABUSE/HARASSMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0245 INFECTION CONTROL PROGRAM Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
24C0001058 Crossroads Surgery Center 1575 20th Street Northwest #203 Faribault MN 5 (Chicago) 05/09/2018 LWQU21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0346 Fire Alarm System - Out of Service Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0712 Fire Drills Standard
24C0001059 Regional Eye Surgery Center Llc 1455 Montreal Street Southeast Hutchinson MN 5 (Chicago) 07/11/2018 JPEL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0022 Policies/Procedures for Sheltering in Place Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0026 Roles Under a Waiver Declared by Secretary Standard
E0034 Information on Occupancy/Needs Standard
E0042 Integrated EP Program Standard
Q0222 NOTICE OF RIGHTS - POSTING Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard