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
442586 Dialysis Clinic Inc 120 Frank Martin Road Suite 202 Shelbyville TN 4 (Atlanta) 02/01/2019 G5PF21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0521 Hvac Standard
442586 Dialysis Clinic Inc 120 Frank Martin Road Suite 202 Shelbyville TN 4 (Atlanta) 04/22/2025 6VLQ21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
442586 Dialysis Clinic Inc 120 Frank Martin Road Suite 202 Shelbyville TN 4 (Atlanta) 04/23/2025 6VLQ11 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
V0544 Achieve Adequate Clearance Standard
442587 Williamson County Dialysis 3983 Carothers Parkway Suite E4 Franklin TN 4 (Atlanta) 02/06/2018 RWEH12 Standard
Deficiency Tag Deficiency Description Tag Type
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0544 Achieve Adequate Clearance Standard
442589 Dialysis Clinic Inc Sevierville 765 Sunrise Circle Sevierville TN 4 (Atlanta) 03/07/2018 GX0711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0640 Immediately Correct Any Ij Issues Standard
442589 Dialysis Clinic Inc Sevierville 765 Sunrise Circle Sevierville TN 4 (Atlanta) 03/16/2022 IJE811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0550 Vascular Access - Monitor/Referrals Standard
V0633 Qapi Indicator - Vascular Access Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
442591 Fresenius Medical Care Graceland 1200 Farrow Memphis TN 4 (Atlanta) 03/21/2018 ZK8611 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
442591 Fresenius Medical Care Graceland 1200 Farrow Memphis TN 4 (Atlanta) 08/02/2021 63EH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0540 Cfc: Patient Plan Of Care Condition
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0680 Cfc - Personnel Qualifications Condition
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
442591 Fresenius Medical Care Graceland 1200 Farrow Memphis TN 4 (Atlanta) 06/12/2024 HXWR11 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
V0544 Achieve Adequate Clearance Standard
442592 Selmer Dialysis 251 Oak Grove Road Selmer TN 4 (Atlanta) 01/20/2022 4XRB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0544 Achieve Adequate Clearance Standard