| CMS Certification Number |
Facility Name |
Address |
City |
State |
CMS Region |
Date of CMS Survey |
Survey Event ID |
Survey Type |
Statement of Deficiencies Report |
|
▼
26C0001108
|
Mercury Surgery Center, Llc |
901 Heartland Road, Plaza 2, Suite 1820 |
Saint Joseph |
MO |
7 (Kansas City) |
04/30/2026 |
22D44B-L1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| K0211 |
Means of Egress - General |
Standard |
|
| K0223 |
Doors with Self-Closing Devices |
Standard |
|
| K0712 |
Fire Drills |
Standard |
|
| K0918 |
Essential Electrical Systems ? Generator or Alternate Source |
Standard |
|
|
|
▼
26C0001108
|
Mercury Surgery Center, Llc |
901 Heartland Road, Plaza 2, Suite 1820 |
Saint Joseph |
MO |
7 (Kansas City) |
09/29/2022 |
4EC5F-L2 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| K0131 |
Multiple Occupancies |
Standard |
|
|
|
▼
26C0001108
|
Mercury Surgery Center, Llc |
901 Heartland Road, Plaza 2, Suite 1820 |
Saint Joseph |
MO |
7 (Kansas City) |
06/30/2022 |
4EC5F-H1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0020 |
COMPLIANCE WITH STATE LICENSURE LAW |
Condition |
|
| Q0240 |
INFECTION CONTROL |
Condition |
|
| Q0064 |
STANDARD LEVEL TAG FOR SURGICAL SERVICES |
Standard |
|
| Q0102 |
SEPARATION |
Standard |
|
| Q0104 |
SAFETY FROM FIRE |
Standard |
|
| Q0109 |
EMERGENCY EQUIPMENT |
Standard |
|
| Q0121 |
MEMBERSHIP AND CLINICAL PRIVILEGES |
Standard |
|
| Q0122 |
REAPPRAISALS |
Standard |
|
| Q0141 |
ORGANIZATION AND STAFFING |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0203 |
RADIOLOGIC SERVICES |
Standard |
|
| Q0222 |
NOTICE OF RIGHTS - POSTING |
Standard |
|
| Q0224 |
ADVANCED DIRECTIVES |
Standard |
|
| Q0225 |
SUBMISSION AND INVESTIGATION OF GRIEVANCES |
Standard |
|
| Q0229 |
EXERCISE OF RIGHTS - INFORMED CONSENT |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0243 |
INFECTION CONTROL PROGRAM - DIRECTION |
Standard |
|
| Q0244 |
INFECTION CONTROL PROGRAM - QAPI |
Standard |
|
| Q0245 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0246 |
COVID-19 Vaccination of Facility Staff |
Standard |
|
| Q0266 |
DISCHARGE - ORDER |
Standard |
|
| Q0267 |
DISCHARGE WITH RESPONSIBLE ADULT |
Standard |
|
|
|
▼
26C0001108
|
Mercury Surgery Center, Llc |
901 Heartland Road, Plaza 2, Suite 1820 |
Saint Joseph |
MO |
7 (Kansas City) |
06/30/2022 |
4EC5F-L1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| K0223 |
Doors with Self-Closing Devices |
Standard |
|
| K0291 |
Emergency Lighting |
Standard |
|
| K0712 |
Fire Drills |
Standard |
|
| K0918 |
Essential Electrical Systems ? Generator or Alternate Source |
Standard |
|
|
|
▼
26C0001108
|
Mercury Surgery Center, Llc |
901 Heartland Road, Plaza 2, Suite 1820 |
Saint Joseph |
MO |
7 (Kansas City) |
03/07/2018 |
SE5R11 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0100 |
ENVIRONMENT |
Condition |
|
| Q0002 |
DEFINITIONS |
Standard |
|
| Q0064 |
STANDARD LEVEL TAG FOR SURGICAL SERVICES |
Standard |
|
| Q0081 |
PROGRAM SCOPE; PROGRAM ACTIVITIES |
Standard |
|
| Q0104 |
SAFETY FROM FIRE |
Standard |
|
| Q0121 |
MEMBERSHIP AND CLINICAL PRIVILEGES |
Standard |
|
| Q0122 |
REAPPRAISALS |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0223 |
NOTICE - PHYSICIAN OWNERSHIP |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0245 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0264 |
POST-SURGICAL ASSESSMENT |
Standard |
|
|
|
▼
26C0001108
|
Mercury Surgery Center, Llc |
901 Heartland Road, Plaza 2, Suite 1820 |
Saint Joseph |
MO |
7 (Kansas City) |
03/07/2018 |
SE5R21 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| E0036 |
EP Training and Testing |
Standard |
|
| E0039 |
EP Testing Requirements |
Standard |
|
| K0346 |
Fire Alarm System - Out of Service |
Standard |
|
| K0901 |
Fundamentals - Building System Categories |
Standard |
|
| K0918 |
Essential Electrical Systems ? Generator or Alternate Source |
Standard |
|
| K0933 |
Features of Fire Protection ? Fire Loss Prevention |
Standard |
|
|
|
▼
26C0001109
|
Webster Ambulatory Surgery Center, Lp |
9701 Landmark Parkway Drive, Suite 100 |
Sunset Hills |
MO |
7 (Kansas City) |
11/06/2024 |
648ED-H1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0100 |
ENVIRONMENT |
Condition |
|
| Q0062 |
ANESTHETIC - DISCHARGE |
Standard |
|
| Q0104 |
SAFETY FROM FIRE |
Standard |
|
| Q0109 |
EMERGENCY EQUIPMENT |
Standard |
|
| Q0110 |
EMERGENCY PERSONNEL |
Standard |
|
| Q0141 |
ORGANIZATION AND STAFFING |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0203 |
RADIOLOGIC SERVICES |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0243 |
INFECTION CONTROL PROGRAM - DIRECTION |
Standard |
|
| Q0245 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0266 |
DISCHARGE - ORDER |
Standard |
|
|
|
▼
26C0001109
|
Webster Ambulatory Surgery Center, Lp |
9701 Landmark Parkway Drive, Suite 100 |
Sunset Hills |
MO |
7 (Kansas City) |
11/06/2024 |
648ED-L1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| E0039 |
EP Testing Requirements |
Standard |
|
| K0372 |
Subdivision of Building Spaces ? Smoke Barrier Construction |
Standard |
|
| K0761 |
Maintenance, Inspection & Testing - Doors |
Standard |
|
|
|
▼
26C0001109
|
Webster Ambulatory Surgery Center, Lp |
9701 Landmark Parkway Drive, Suite 100 |
Sunset Hills |
MO |
7 (Kansas City) |
11/19/2020 |
GR1111 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| Q0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| Q0064 |
STANDARD LEVEL TAG FOR SURGICAL SERVICES |
Standard |
|
| Q0081 |
PROGRAM SCOPE; PROGRAM ACTIVITIES |
Standard |
|
| Q0104 |
SAFETY FROM FIRE |
Standard |
|
| Q0109 |
EMERGENCY EQUIPMENT |
Standard |
|
| Q0181 |
ADMINISTRATION OF DRUGS |
Standard |
|
| Q0221 |
NOTICE OF RIGHTS |
Standard |
|
| Q0224 |
ADVANCED DIRECTIVES |
Standard |
|
| Q0229 |
EXERCISE OF RIGHTS - INFORMED CONSENT |
Standard |
|
| Q0241 |
SANITARY ENVIRONMENT |
Standard |
|
| Q0242 |
INFECTION CONTROL PROGRAM |
Standard |
|
| Q0243 |
INFECTION CONTROL PROGRAM - DIRECTION |
Standard |
|
|
|
▼
26C0001109
|
Webster Ambulatory Surgery Center, Lp |
9701 Landmark Parkway Drive, Suite 100 |
Sunset Hills |
MO |
7 (Kansas City) |
11/19/2020 |
GR1121 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
| K0000 |
INITIAL COMMENTS |
Memo |
|
| K0353 |
Sprinkler System - Maintenance and Testing |
Standard |
|
| K0761 |
Maintenance, Inspection & Testing - Doors |
Standard |
|
| K0918 |
Essential Electrical Systems ? Generator or Alternate Source |
Standard |
|
|