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

Time Interval

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

Note: There is currently no ESRD 2567 data available past Feb 19, 2026 due to data system migrations.

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 ESRD 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
422662 Clinton Dialysis Clinic Llc 103 Ab Jacks Road Clinton SC 4 (Atlanta) 12/19/2018 GLJK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
422662 Clinton Dialysis Clinic Llc 103 Ab Jacks Road Clinton SC 4 (Atlanta) 03/03/2022 F5QK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422662 Clinton Dialysis Clinic Llc 103 Ab Jacks Road Clinton SC 4 (Atlanta) 08/09/2024 VVKY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422663 Nxstage Kidney Care Charleston 2270 Ashley Crossing Drive, 130a Charleston SC 4 (Atlanta) 07/24/2019 O27M11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0556 Poc Completed/Signed By Idt & Patient Standard
422664 Dci - Woodruff 251 S Pearson Street Woodruff SC 4 (Atlanta) 10/16/2019 Y84I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0184 Environment: Secure And Restricted Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
422664 Dci - Woodruff 251 S Pearson Street Woodruff SC 4 (Atlanta) 11/09/2022 J6MP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0546 Manage Mineral Metabolism Standard
422665 Flower Town Home Training 2143 North Main Street Summerville SC 4 (Atlanta) 02/02/2023 4KTD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
422666 Fresenius Kidney Care Florence Medical Mile 181 E Evans Street, Unit 8 Florence SC 4 (Atlanta) 05/06/2021 WEF011 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
422666 Fresenius Kidney Care Florence Medical Mile 181 E Evans Street, Unit 8 Florence SC 4 (Atlanta) 02/07/2024 SZHJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0316 Maintenance Per Dfu Or Semiannual/Maintenance Record Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
422667 Marion Towne Dialysis 2529 E Highway 76 Marion SC 4 (Atlanta) 05/13/2021 VEQ511 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0503 Appropriateness Of Dialysis Rx Standard