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
482501 Caribbean Kidney Center-St. Thomas. 52b-1 Estate Thomas St Thomas VI 2 (New York) 09/06/2018 4WX511 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0503 Appropriateness Of Dialysis Rx Standard
482501 Caribbean Kidney Center-St. Thomas. 52b-1 Estate Thomas St Thomas VI 2 (New York) 01/17/2020 HUPI11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0450 Cfc - Patients' Rights Condition
V0468 Informed - D/C & Transfer Policies Inc Involuntary Dc Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0509 Rd - Nutritional Status Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0689 Dietitian - Rd Standard
V0767 Involuntary Discharge Process Requirements Standard
482501 Caribbean Kidney Center-St. Thomas. 52b-1 Estate Thomas St Thomas VI 2 (New York) 02/26/2021 QFRZ11 Complaint, Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0503 Appropriateness Of Dialysis Rx Standard
482501 Caribbean Kidney Center-St. Thomas. 52b-1 Estate Thomas St Thomas VI 2 (New York) 06/09/2023 J1MP11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
483700 Gov Juan Luis Hospital - Esrd/Sprdf 4007 Estate Diamond Ruby Christiansted VI 2 (New York) 11/29/2018 IEQG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
492301 University Of Virginia 1335 Jefferson Park Avenue Charlottesville VA 3 (Philadelphia) 07/01/2021 5IZ811 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
492301 University Of Virginia 1335 Jefferson Park Avenue Charlottesville VA 3 (Philadelphia) 04/21/2023 559D21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0916 Electrical Systems - Essential Electric Syste Standard
K0918 Electrical Systems - Essential Electric Syste Standard
492303 Mcv Hospitals/Vcu Health System Dialysis Po Box 985499 Richmond VA 3 (Philadelphia) 03/08/2018 JOVB11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0129 Ic - Hbv - Isolation (New Facility) Standard
V0195 Carbon Adsorption - 10 Minutes Ebct Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0400 Cfc - Physical Environment Condition
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0506 Immunization/Medication History Standard
V0543 Manage Volume Status Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
492303 Mcv Hospitals/Vcu Health System Dialysis Po Box 985499 Richmond VA 3 (Philadelphia) 09/18/2019 J5F411 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0543 Manage Volume Status Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
492303 Mcv Hospitals/Vcu Health System Dialysis Po Box 985499 Richmond VA 3 (Philadelphia) 09/19/2019 J5F421 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0372 Subdivision Of Building Spaces - Smoke Barrie Standard
K0911 Electrical Systems - Other Standard
K0918 Electrical Systems - Essential Electric Syste Standard