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
492640 Rai-Riverside Rmc - Newport News 3319 W Mercury Blvd Hampton VA 3 (Philadelphia) 03/09/2021 CGGS11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0542 Idt Develops Plan Of Care Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
492640 Rai-Riverside Rmc - Newport News 3319 W Mercury Blvd Hampton VA 3 (Philadelphia) 12/06/2023 ODIH11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0030 Names And Contact Information Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements 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
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
492641 Rai-South Church-Smithfield 1812 South Church Street, Suite C Smithfield VA 3 (Philadelphia) 09/25/2020 NR0411 Special, 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
V0184 Environment: Secure And Restricted Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
492641 Rai-South Church-Smithfield 1812 South Church Street, Suite C Smithfield VA 3 (Philadelphia) 03/26/2024 ZPWN11 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
492641 Rai-South Church-Smithfield 1812 South Church Street, Suite C Smithfield VA 3 (Philadelphia) 10/16/2024 7M8T11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0033 Methods For Sharing Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
492643 Rai-John Tyler Hwy-Williamsburg 6726 Mooretown Road Williamsburg VA 3 (Philadelphia) 02/07/2020 08Y911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0562 Patient/Family Education & Training Standard
492643 Rai-John Tyler Hwy-Williamsburg 6726 Mooretown Road Williamsburg VA 3 (Philadelphia) 01/26/2023 PAEJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
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
V0504 Assess B/P & Fluid Management Needs Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
492645 Rai-Chesapeake Ave- Newport News 3115 Jefferson Ave Newport News VA 3 (Philadelphia) 09/02/2020 NX0711 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
492645 Rai-Chesapeake Ave- Newport News 3115 Jefferson Ave Newport News VA 3 (Philadelphia) 07/26/2023 7K9Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0036 Ep Training And Testing 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
V0556 Poc Completed/Signed By Idt & Patient Standard
492645 Rai-Chesapeake Ave- Newport News 3115 Jefferson Ave Newport News VA 3 (Philadelphia) 06/25/2024 N0VC11 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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0544 Achieve Adequate Clearance Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard