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
▼ 52C0001021 Wausau Surgery Center 3801 Stewart Ave. Wausau WI 5 (Chicago) 10/02/2018 MX5H21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0211 Means of Egress - General Standard
K0321 Hazardous Areas - Enclosure Standard
K0343 Fire Alarm System - Notification Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0919 Electrical Equipment - Other Standard
▼ 52C0001025 Center For Digestive Health 2801 W Kinnickinnic Rvr Pkwy #1060 Milwaukee WI 5 (Chicago) 06/27/2023 602EB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 52C0001025 Center For Digestive Health 2801 W Kinnickinnic Rvr Pkwy #1060 Milwaukee WI 5 (Chicago) 06/27/2023 602EB-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0781 Portable Space Heaters Standard
K0914 Electrical Systems - Maintenance and Testing Standard
▼ 52C0001025 Center For Digestive Health 2801 W Kinnickinnic Rvr Pkwy #1060 Milwaukee WI 5 (Chicago) 12/03/2019 56YV11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0101 PHYSICAL ENVIRONMENT Standard
Q0104 SAFETY FROM FIRE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0266 DISCHARGE - ORDER Standard
▼ 52C0001025 Center For Digestive Health 2801 W Kinnickinnic Rvr Pkwy #1060 Milwaukee WI 5 (Chicago) 12/03/2019 56YV21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0311 Vertical Openings - Enclosure Standard
K0351 Sprinkler System - Installation Standard
▼ 52C0001029 Niagara Health Center Inc 1601 Roosevelt Rd Niagara WI 5 (Chicago) 07/22/2025 66751-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
▼ 52C0001029 Niagara Health Center Inc 1601 Roosevelt Rd Niagara WI 5 (Chicago) 07/22/2025 66751-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0293 Exit Signage Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0918 Essential Electrical Systems ? Generator or Alternate Source Standard
▼ 52C0001030 Madison Surgery Center 1 S Park St 3rd Flr Madison WI 5 (Chicago) 06/12/2024 634B1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0061 ANESTHETIC RISK AND EVALUATION Standard
Q0062 ANESTHETIC - DISCHARGE Standard
Q0064 STANDARD LEVEL TAG FOR SURGICAL SERVICES Standard
Q0104 SAFETY FROM FIRE Standard
Q0105 ALCOHOL-BASED HAND RUB DISPENSERS Standard
Q0181 ADMINISTRATION OF DRUGS Standard
Q0242 INFECTION CONTROL PROGRAM Standard
Q0264 POST-SURGICAL ASSESSMENT Standard
Q0265 DISCHARGE - SUPPLIES AND INFORMATION Standard
Q0266 DISCHARGE - ORDER Standard
▼ 52C0001030 Madison Surgery Center 1 S Park St 3rd Flr Madison WI 5 (Chicago) 06/12/2024 634B1-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0325 Alcohol Based Hand Rub Dispenser (ABHR) Standard
K0342 Fire Alarm System - Initiation Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0521 HVAC Standard
K0911 Electrical Systems - Other Standard
▼ 52C0001030 Madison Surgery Center 1 S Park St 3rd Flr Madison WI 5 (Chicago) 08/28/2018 QQRQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0100 ENVIRONMENT Condition
Q0104 SAFETY FROM FIRE Standard
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
Q0262 ADMISSION AND PRE-SURGICAL ASSESSMENT Standard