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
▼ 35C0001013 Dakota Surgery & Laser Center 430 E Sweet Ave Bismarck ND 8 (Denver) 06/20/2022 4ED8A-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 35C0001013 Dakota Surgery & Laser Center 430 E Sweet Ave Bismarck ND 8 (Denver) 04/17/2018 21H111 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0241 SANITARY ENVIRONMENT Standard
▼ 35C0001013 Dakota Surgery & Laser Center 430 E Sweet Ave Bismarck ND 8 (Denver) 04/17/2018 21H121 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
K0291 Emergency Lighting Standard
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0920 Electrical Equipment ? Power Cords and Extension Cords Standard
▼ 35C0001015 Bismarck Surgical Associates 106 E Greenfield Ln Bismarck ND 8 (Denver) 03/09/2022 FNUX11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 35C0001015 Bismarck Surgical Associates 106 E Greenfield Ln Bismarck ND 8 (Denver) 03/08/2022 FNUX21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 35C0001016 Northern Plains Surgery Center 2829 University Dr S Suite 103 Fargo ND 8 (Denver) 03/26/2025 65AC3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
▼ 35C0001021 Institute For Low Back Care 3280 20th St South Suite B Fargo ND 8 (Denver) 07/12/2023 603BA-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0345 Fire Alarm System - Testing and Maintenance Standard
K0511 Utilities - Gas and Electric Standard
▼ 35C0001021 Institute For Low Back Care 3280 20th St South Suite B Fargo ND 8 (Denver) 07/11/2023 603BA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0083 PERFORMANCE IMPROVEMENT PROJECTS Standard
Q0221 NOTICE OF RIGHTS Standard
Q0223 NOTICE - PHYSICIAN OWNERSHIP Standard
Q0224 ADVANCED DIRECTIVES Standard
Q0242 INFECTION CONTROL PROGRAM Standard
▼ 35C0001021 Institute For Low Back Care 3280 20th St South Suite B Fargo ND 8 (Denver) 10/28/2019 HXYI11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0082 PROGRAM DATA; PROGRAM ACTIVITIES Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 35C0001021 Institute For Low Back Care 3280 20th St South Suite B Fargo ND 8 (Denver) 10/28/2019 HXYI21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
E0001 Establishment of the Emergency Program (EP) Condition
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard