S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 442531 Dialysis Clinic Inc Maryville 1851 Crest Road Maryville TN 4 (Atlanta) 04/26/2023 316E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 442532 Dialysis Clinic Inc Humboldt 2749 N Central Ave Humboldt TN 4 (Atlanta) 11/17/2021 UW8U11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
▼ 442532 Dialysis Clinic Inc Humboldt 2749 N Central Ave Humboldt TN 4 (Atlanta) 02/05/2025 3TRK11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0544 Achieve Adequate Clearance Standard
▼ 442533 Dyersburg Dialysis 1575 Parr Avenue Dyersburg TN 4 (Atlanta) 09/26/2019 WCB411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
▼ 442536 Dialysis Clinic Inc 254 Beasley Drive Dickson TN 4 (Atlanta) 11/10/2021 U0WV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
▼ 442536 Dialysis Clinic Inc 254 Beasley Drive Dickson TN 4 (Atlanta) 01/29/2025 XQ5311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
▼ 442538 Dialysis Clinic Inc Brownsville Clinic 378 N Dupree Brownsville TN 4 (Atlanta) 01/23/2020 05E211 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
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
▼ 442538 Dialysis Clinic Inc Brownsville Clinic 378 N Dupree Brownsville TN 4 (Atlanta) 01/08/2025 BY3A11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0192 Carbon Adsorption - Two Tanks/Sample Ports Standard
V0544 Achieve Adequate Clearance Standard
▼ 442539 Columbia Dialysis 1705 Grove St Columbia TN 4 (Atlanta) 04/24/2019 MB5N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
▼ 442540 Whitebridge Dialysis 103 White Bridge Road Suite #6 Nashville TN 4 (Atlanta) 01/09/2018 G9XT12 Standard
Deficiency Tag Deficiency Description Tag Type
V0540 Cfc: Patient Plan Of Care Condition
V0542 Idt Develops Plan Of Care Standard
V0545 Effective Nutritional Status Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard