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
492636 Charlottesville North Dialysis 1800 Timberwood Blvd, Suite C Charlottesville VA 3 (Philadelphia) 09/23/2020 X8YE11 Special, Standard
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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0543 Manage Volume Status Standard
492636 Charlottesville North Dialysis 1800 Timberwood Blvd, Suite C Charlottesville VA 3 (Philadelphia) 12/13/2022 CSGM11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0132 Ic - Training And Education Standard
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0543 Manage Volume Status Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0639 Prioritizing Improvement Activities Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
V0800 Covid-19 Vaccination Of Facility Staff Standard
492636 Charlottesville North Dialysis 1800 Timberwood Blvd, Suite C Charlottesville VA 3 (Philadelphia) 12/29/2025 YPHD11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
492637 Garrisonville Dialysis Center 70 Doc Stone Road, #101 Stafford VA 3 (Philadelphia) 09/16/2020 G5YE11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
492637 Garrisonville Dialysis Center 70 Doc Stone Road, #101 Stafford VA 3 (Philadelphia) 12/20/2022 JSOL11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0023 Policies/Procedures For Medical Documentation Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0146 Ic - Catheters; General Standard
V0184 Environment: Secure And Restricted Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0640 Immediately Correct Any Ij Issues Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0682 Medical Director - Bc + 12 Mo Dialysis Exp Standard
V0693 Pct - Complete Training Program Standard
V0696 Water Treatment System Techs Training Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
492637 Garrisonville Dialysis Center 70 Doc Stone Road, #101 Stafford VA 3 (Philadelphia) 02/22/2023 JSOL12 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
492639 Fresenius Medical Care Services - Lorton 8986 Lorton Station Blvd, Suite 100 Lorton VA 3 (Philadelphia) 04/18/2018 7R3E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0033 Methods For Sharing Information Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
492639 Fresenius Medical Care Services - Lorton 8986 Lorton Station Blvd, Suite 100 Lorton VA 3 (Philadelphia) 03/03/2021 NMVY11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0543 Manage Volume Status Standard
492639 Fresenius Medical Care Services - Lorton 8986 Lorton Station Blvd, Suite 100 Lorton VA 3 (Philadelphia) 02/27/2024 YVGM11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
492640 Rai-Riverside Rmc - Newport News 3319 W Mercury Blvd Hampton VA 3 (Philadelphia) 04/12/2018 6M4E11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard