S&C QCOR ASC 2567s
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ASCs 2567s
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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
▼ 28C0001023 Surgery Center Of Fremont, Llc 2727 North Clarkson Street Fremont NE 7 (Kansas City) 02/04/2025 64CFB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 28C0001023 Surgery Center Of Fremont, Llc 2727 North Clarkson Street Fremont NE 7 (Kansas City) 07/14/2021 7LHY21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
▼ 28C0001024 Surgicenter Of Norfolk, Llc Dba Fountain Point Surgery Center 3901 W Norfolk Avenue, Suite L Norfolk NE 7 (Kansas City) 08/01/2024 41NS-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
▼ 28C0001024 Surgicenter Of Norfolk, Llc Dba Fountain Point Surgery Center 3901 W Norfolk Avenue, Suite L Norfolk NE 7 (Kansas City) 09/30/2020 QCPS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 28C0001025 Midwest Eye Surgery Center, Llc 4353 Dodge Street Omaha NE 7 (Kansas City) 04/17/2025 65B68-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0266 DISCHARGE - ORDER Standard
▼ 28C0001026 Heartland Cataract & Laser Surgery Center, Inc 1103 Galvin Road South Bellevue NE 7 (Kansas City) 08/10/2023 6034A-H1 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0039 EP Testing Requirements Standard
Q0243 INFECTION CONTROL PROGRAM - DIRECTION Standard
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 28C0001026 Heartland Cataract & Laser Surgery Center, Inc 1103 Galvin Road South Bellevue NE 7 (Kansas City) 08/08/2023 6034A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0293 Exit Signage Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0912 Electrical Systems - Receptacles Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
▼ 28C0001027 Hastings Laser & Eye Surgery Center, Llc 715 North Kansas Ave, Suite 303 Hastings NE 7 (Kansas City) 06/27/2023 5F5CB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 28C0001027 Hastings Laser & Eye Surgery Center, Llc 715 North Kansas Ave, Suite 303 Hastings NE 7 (Kansas City) 11/01/2019 IZTP21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 28C0001027 Hastings Laser & Eye Surgery Center, Llc 715 North Kansas Ave, Suite 303 Hastings NE 7 (Kansas City) 10/30/2019 IZTP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard