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
38C0001004 Southern Oregon Eye Surgery Center, Llc 1408 E Barnett Road Medford OR 10 (Seattle) 06/12/2018 8EVH21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0032 Primary/Alternate Means for Communication Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
38C0001005 The Portland Clinic, Llp 800 Sw 13th Avenue Portland OR 10 (Seattle) 12/04/2018 GHJH11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0002 DEFINITIONS Standard
Q0241 SANITARY ENVIRONMENT Standard
38C0001005 The Portland Clinic, Llp 800 Sw 13th Avenue Portland OR 10 (Seattle) 12/03/2018 GHJH21 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
E0018 Procedures for Tracking of Staff and Patients Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
K0131 Multiple Occupancies Standard
K0211 Means of Egress - General Standard
K0223 Doors with Self-Closing Devices Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0355 Portable Fire Extinguishers Standard
K0712 Fire Drills Standard
38C0001006 Nbmc Day Surgery Inc 1900 Woodland Drive Coos Bay OR 10 (Seattle) 11/21/2024 64B97-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
K0131 Multiple Occupancies Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
38C0001006 Nbmc Day Surgery Inc 1900 Woodland Drive Coos Bay OR 10 (Seattle) 11/19/2024 64B97-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0220 NOTICE - POSTING Standard
38C0001006 Nbmc Day Surgery Inc 1900 Woodland Drive Coos Bay OR 10 (Seattle) 03/24/2023 5F930-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0104 SAFETY FROM FIRE Standard
38C0001006 Nbmc Day Surgery Inc 1900 Woodland Drive Coos Bay OR 10 (Seattle) 03/23/2023 5F930-L1 Complaint
Deficiency Tag Deficiency Description Tag Type
K0000 INITIAL COMMENTS Memo
K0711 Evacuation and Relocation Plan Standard
38C0001007 Oregon Eye Surgery Center, Inc 1550 Oak Street, Suite 8 Eugene OR 10 (Seattle) 01/30/2024 61676-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0131 Multiple Occupancies Standard
38C0001007 Oregon Eye Surgery Center, Inc 1550 Oak Street, Suite 8 Eugene OR 10 (Seattle) 11/13/2023 61676-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
38C0001007 Oregon Eye Surgery Center, Inc 1550 Oak Street, Suite 8 Eugene OR 10 (Seattle) 11/09/2023 61676-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0063 ADMINISTRATION OF ANESTHESIA Standard