S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 492599 Richmond Community Dialysis 913 N 25th Street Richmond VA 3 (Philadelphia) 08/09/2023 YN6R11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0506 Immunization/Medication History Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 492600 West Broad - Richmond Dialysis 3407 West Broad Street, Suite 100 Richmond VA 3 (Philadelphia) 09/30/2020 DF0W11 Special, 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 492600 West Broad - Richmond Dialysis 3407 West Broad Street, Suite 100 Richmond VA 3 (Philadelphia) 07/18/2023 9FVY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
▼ 492602 Renal Care Partners Of Arlington - Alexandria, Llc 2445 Army Navy Drive, 2nd Floor Arlington VA 3 (Philadelphia) 09/24/2020 NXFK11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 492602 Renal Care Partners Of Arlington - Alexandria, Llc 2445 Army Navy Drive, 2nd Floor Arlington VA 3 (Philadelphia) 04/25/2023 EYU211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 492603 Mechanicsville Dialysis Center 8400 North Run Medical Drive, Suite 100 Mechanicsville VA 3 (Philadelphia) 10/02/2020 2ETP11 Special, 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
▼ 492603 Mechanicsville Dialysis Center 8400 North Run Medical Drive, Suite 100 Mechanicsville VA 3 (Philadelphia) 10/05/2023 TE3F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0179 Bacteriology Of Water-Medical Director Responsible Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0686 Charge Nurse - 12 Mo Nursing + 3 Mo Dialysis Standard
▼ 492603 Mechanicsville Dialysis Center 8400 North Run Medical Drive, Suite 100 Mechanicsville VA 3 (Philadelphia) 12/19/2023 SQK511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
▼ 492604 Great Bridge Dialysis Center 745 Battlefield Blvd, North, Suite 100 Chesapeake VA 3 (Philadelphia) 09/25/2020 W0PJ11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
▼ 492604 Great Bridge Dialysis Center 745 Battlefield Blvd, North, Suite 100 Chesapeake VA 3 (Philadelphia) 08/09/2023 RYRO11 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
V0111 Ic - Sanitary Environment Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0562 Patient/Family Education & Training Standard