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
▼ 28C0001057 Kearney Pain Treatment Center Llc Dba Stone Ridge Surgery Center 920 East 56th Street, Suite D Kearney NE 7 (Kansas City) 03/15/2022 SIDC21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0902 Gas and Vacuum Piped Systems - Other Standard
▼ 28C0001057 Kearney Pain Treatment Center Llc Dba Stone Ridge Surgery Center 920 East 56th Street, Suite D Kearney NE 7 (Kansas City) 05/14/2018 BSRS21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0346 Fire Alarm System - Out of Service Standard
K0354 Sprinkler System - Out of Service Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 28C0001058 R Choice Surgical Center, Llc 2900 Elk Lane, Suite 2 Fremont NE 7 (Kansas City) 07/20/2023 60541-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0141 ORGANIZATION AND STAFFING Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
▼ 28C0001058 R Choice Surgical Center, Llc 2900 Elk Lane, Suite 2 Fremont NE 7 (Kansas City) 12/27/2022 5E307-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
▼ 28C0001058 R Choice Surgical Center, Llc 2900 Elk Lane, Suite 2 Fremont NE 7 (Kansas City) 12/19/2022 5E307-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 28C0001058 R Choice Surgical Center, Llc 2900 Elk Lane, Suite 2 Fremont NE 7 (Kansas City) 11/21/2019 3BN611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 28C0001063 United Vascular Of Omaha Llc 17410 Burke Street, Suite 105 Omaha NE 7 (Kansas City) 11/02/2023 60FA7-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
Q0225 SUBMISSION AND INVESTIGATION OF GRIEVANCES Standard
Q0266 DISCHARGE - ORDER Standard
▼ 28C0001063 United Vascular Of Omaha Llc 17410 Burke Street, Suite 105 Omaha NE 7 (Kansas City) 11/02/2023 60FA7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0343 Fire Alarm System - Notification Standard
K0354 Sprinkler System - Out of Service Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 28C0001067 The Nebraska Ambulatory Surgical Center, Llc 5620 S 27th Street, Suite 200 Lincoln NE 7 (Kansas City) 01/22/2026 1DEDC6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard
▼ 28C0001067 The Nebraska Ambulatory Surgical Center, Llc 5620 S 27th Street, Suite 200 Lincoln NE 7 (Kansas City) 01/21/2026 1DEDC6-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0374 Subdivision of Building Spaces ? Smoke Barrier Doors Standard
K0712 Fire Drills Standard
K0912 Electrical Systems - Receptacles Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0921 Electrical Equipment ? Testing and Maintenance Requirements Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard