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
▼ 34C0001207 Charlotte Surgery Center-Wendover Campus 3621 Randolph Road Suite 200 Charlotte NC 4 (Atlanta) 02/02/2023 5EDE1-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0131 Multiple Occupancies Standard
K0251 Dead-End Corridors and Common Path of Travel Standard
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0511 Utilities - Gas and Electric Standard
▼ 35C0001004 Trinity Health-Tcc Western Dakota Surgery 1321 West Dakota Parkway Williston ND 8 (Denver) 10/03/2018 I28I11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0041 CONTRACT SERVICES Standard
▼ 35C0001007 Innovis Health Llc - Day Surgery 275 S 11th St Wahpeton ND 8 (Denver) 09/29/2022 4F735-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0267 DISCHARGE WITH RESPONSIBLE ADULT Standard
▼ 35C0001007 Innovis Health Llc - Day Surgery 275 S 11th St Wahpeton ND 8 (Denver) 09/27/2022 4F735-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0131 Multiple Occupancies Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 35C0001011 North Dakota Surgery Center 2600 47th Ave S Grand Forks ND 8 (Denver) 05/25/2022 UPH511 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0122 REAPPRAISALS Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0221 NOTICE OF RIGHTS Standard
▼ 35C0001011 North Dakota Surgery Center 2600 47th Ave S Grand Forks ND 8 (Denver) 05/24/2022 UPH5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 35C0001012 Lamb Plastic Surgery Center 1507 S University Dr Fargo ND 8 (Denver) 05/12/2026 232BFA-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0291 Emergency Lighting Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 35C0001012 Lamb Plastic Surgery Center 1507 S University Dr Fargo ND 8 (Denver) 05/10/2023 5FDFB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0224 ADVANCED DIRECTIVES Standard
▼ 35C0001012 Lamb Plastic Surgery Center 1507 S University Dr Fargo ND 8 (Denver) 03/12/2019 3BFL11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
Q0233 SAFETY - ABUSE/HARASSMENT Standard
Q0234 CONFIDENTIALITY OF CLINICAL RECORDS Standard
Q0261 PATIENT ASSESSMENT AND ADMISSION Standard
▼ 35C0001013 Dakota Surgery & Laser Center 430 E Sweet Ave Bismarck ND 8 (Denver) 06/21/2022 4ED8A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0109 EMERGENCY EQUIPMENT Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard