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
28C0001028 Kearney Ambulatory Surgical Center, Llc Dba Heartland Surgery Center 3515 30th Avenue Kearney NE 7 (Kansas City) 05/26/2023 5F8F7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0062 ANESTHETIC - DISCHARGE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0184 VERBAL ORDERS Standard
Q0263 ADMISSION ASSESSMENT - RECORD Standard
Q0266 DISCHARGE - ORDER Standard
28C0001028 Kearney Ambulatory Surgical Center, Llc Dba Heartland Surgery Center 3515 30th Avenue Kearney NE 7 (Kansas City) 05/26/2023 5F8F7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
28C0001028 Kearney Ambulatory Surgical Center, Llc Dba Heartland Surgery Center 3515 30th Avenue Kearney NE 7 (Kansas City) 06/07/2018 1KO411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
28C0001028 Kearney Ambulatory Surgical Center, Llc Dba Heartland Surgery Center 3515 30th Avenue Kearney NE 7 (Kansas City) 06/06/2018 1KO421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0223 Doors with Self-Closing Devices Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0914 Electrical Systems - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
28C0001029 Popp Cosmetic Surgery Pc 11919 Grant Street, Suite 100 Omaha NE 7 (Kansas City) 11/13/2025 1D663A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0184 VERBAL ORDERS Standard
28C0001031 Miracle Hills Surgery Center, Llc Dba Miracle Hills Surgery Center 11819 Miracle Hills Drive, Suite 201 Omaha NE 7 (Kansas City) 11/24/2025 1D68C3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
28C0001031 Miracle Hills Surgery Center, Llc Dba Miracle Hills Surgery Center 11819 Miracle Hills Drive, Suite 201 Omaha NE 7 (Kansas City) 11/19/2025 1D68C3-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
28C0001031 Miracle Hills Surgery Center, Llc Dba Miracle Hills Surgery Center 11819 Miracle Hills Drive, Suite 201 Omaha NE 7 (Kansas City) 04/03/2019 LIS921 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
28C0001032 North Platte Surgery Center, Llc 621 West Francis St North Platte NE 7 (Kansas City) 08/28/2024 63447-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
28C0001032 North Platte Surgery Center, Llc 621 West Francis St North Platte NE 7 (Kansas City) 09/22/2020 5X6421 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard