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
▼ 27C0001031 Copper City Surgery Center Pllc 2760 Elizabeth Warren Avenue Butte MT 8 (Denver) 06/17/2026 23588D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0040 GOVERNING BODY AND MANAGEMENT Condition
Q0041 CONTRACT SERVICES Standard
Q0109 EMERGENCY EQUIPMENT Standard
Q0121 MEMBERSHIP AND CLINICAL PRIVILEGES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 27C0001106 Gallatin Valley Surgery Center Llc 2825 W Main Street Bozeman MT 8 (Denver) 04/02/2025 65A57-L1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 27C0001106 Gallatin Valley Surgery Center Llc 2825 W Main Street Bozeman MT 8 (Denver) 03/26/2025 65A57-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0065 PHYSICIAN EVALUATION OF RISK Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 28C0001000 Osc Llc Dba Omaha Surgical Center 8051 West Center Road Omaha NE 7 (Kansas City) 02/12/2026 1DBB66-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0065 PHYSICIAN EVALUATION OF RISK Standard
Q0184 VERBAL ORDERS Standard
▼ 28C0001000 Osc Llc Dba Omaha Surgical Center 8051 West Center Road Omaha NE 7 (Kansas City) 02/10/2026 1DBB66-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 28C0001000 Osc Llc Dba Omaha Surgical Center 8051 West Center Road Omaha NE 7 (Kansas City) 05/16/2022 SZFR22 Recertification
Deficiency Tag Deficiency Description Tag Type
K0371 Subdivision of Building Spaces ? Smoke Compartments Standard
▼ 28C0001000 Osc Llc Dba Omaha Surgical Center 8051 West Center Road Omaha NE 7 (Kansas City) 02/16/2022 SZFR21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0354 Sprinkler System - Out of Service Standard
K0511 Utilities - Gas and Electric Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 28C0001002 Pacific Surgery Center, Llc Dba Pacific Surgery Center East 111 1/2 South 90th Street Omaha NE 7 (Kansas City) 05/08/2025 65F6C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 28C0001002 Pacific Surgery Center, Llc Dba Pacific Surgery Center East 111 1/2 South 90th Street Omaha NE 7 (Kansas City) 05/07/2025 65F6C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0346 Fire Alarm System - Out of Service Standard
K0712 Fire Drills Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 28C0001002 Pacific Surgery Center, Llc Dba Pacific Surgery Center East 111 1/2 South 90th Street Omaha NE 7 (Kansas City) 07/13/2023 60536-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard