S&C QCOR OPO 2567s
d QCOR:  Quality, Certification and Oversight Reports.
OPOs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Note: There is no OPO 2567 data for the year 2012.

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 OPO 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).

Facility Name

Use these filters if you know the name (or partial name) of 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
50P003 Lifecenter Northwest 3650 131st Ave, Se, Ste 200 Bellevue WA 10 (Seattle) 07/15/2010 6RJJ11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0235 Administration And Governing Body Standard
Z0261 Qualifications Standard
Z0263 Staffing Standard
Z0303 Data Rentention Standard
Z0306 Requesting Consent Standard
Z0314 Potential Donor Evaluation Element
50P003 Lifecenter Northwest 3650 131st Ave, Se, Ste 200 Bellevue WA 10 (Seattle) 05/09/2014 VMAD11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0057 Hospital Agreements Standard
Z0178 Testing Standard
Z0188 Donation After Cardiac Death Standard
50P003 Lifecenter Northwest 3650 131st Ave, Se, Ste 200 Bellevue WA 10 (Seattle) 04/25/2018 PF3C11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0120 Qualifications Standard
50P003 Lifecenter Northwest 3650 131st Ave, Se, Ste 200 Bellevue WA 10 (Seattle) 01/27/2022 M6N111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0165 Requesting Consent Standard
52P001 University Of Wisconsin Opo 600 Highland Avenue Madison WI 5 (Chicago) 04/24/2018 0FLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0185 Documentation Of Recipient Information Standard
52P001 University Of Wisconsin Opo 600 Highland Avenue Madison WI 5 (Chicago) 03/10/2022 ORIX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
Z0000 Initial Comments - Not a Deficiency Citation Memo
52P002 Versiti Wisconsin 638 North 18th Street Milwaukee WI 5 (Chicago) 07/16/2014 RXOY11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0085 Administration And Governing Body Standard
Z0096 Administration And Governing Body Standard
52P002 Versiti Wisconsin 638 North 18th Street Milwaukee WI 5 (Chicago) 06/08/2017 Z8HS11 Complaint
Deficiency Tag Deficiency Description Tag Type
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0056 Relationships W Hospital/Cah/Tissue Banks Condition
Z0059 Cooperation With Tissue Banks Standard
Z0061 Cooperation With Tissue Banks Standard
Z0063 Cooperation With Tissue Banks Standard
Z0173 Potential Donor Evaluation Standard
Z0202 Adverse Events Standard
Z0203 Adverse Events Standard
52P002 Versiti Wisconsin 638 North 18th Street Milwaukee WI 5 (Chicago) 02/08/2018 MXTR11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0057 Hospital Agreements Standard
Z0084 Administration And Governing Body Condition
Z0095 Administration And Governing Body Standard
Z0118 Qualifications Standard
Z0119 Qualifications Standard
Z0199 Quality Assessment & Performance Improvement Condition
Z0200 Components Of A Qapi Program Standard
Z0201 Death Record Reviews Standard
52P002 Versiti Wisconsin 638 North 18th Street Milwaukee WI 5 (Chicago) 03/24/2022 JTQY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
Z0000 Initial Comments - Not a Deficiency Citation Memo