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
492667 Lynchburg Home Training 2091 Langhorne Rd Lynchburg VA 3 (Philadelphia) 09/08/2021 G1YB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0542 Idt Develops Plan Of Care Standard
492667 Lynchburg Home Training 2091 Langhorne Rd Lynchburg VA 3 (Philadelphia) 07/26/2022 QOH311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0542 Idt Develops Plan Of Care Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
492668 Royal Oak Dialysis 1587 North Main Street Marion VA 3 (Philadelphia) 11/01/2018 L9N911 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
V0254 Microbial Monitoring - Sample Before Disinfect Standard
492668 Royal Oak Dialysis 1587 North Main Street Marion VA 3 (Philadelphia) 01/12/2022 UV0E11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
492669 Tidewater Home Dialysis 230 Clearfield Ave, Suite 106 Virginia Beach VA 3 (Philadelphia) 05/18/2021 PND211 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0765 Internal Grievance Process Components & Implemented Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
492670 Kfhp Of Mas Esrd - Tysons Corner 8008 Westpark Dr Mclean VA 3 (Philadelphia) 07/12/2018 MQDC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0542 Idt Develops Plan Of Care Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
492670 Kfhp Of Mas Esrd - Tysons Corner 8008 Westpark Dr Mclean VA 3 (Philadelphia) 03/03/2021 JZ3W11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0466 Informed - External Grievance Processes Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
492670 Kfhp Of Mas Esrd - Tysons Corner 8008 Westpark Dr Mclean VA 3 (Philadelphia) 03/17/2021 JZ3W21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
492670 Kfhp Of Mas Esrd - Tysons Corner 8008 Westpark Dr Mclean VA 3 (Philadelphia) 06/11/2024 1N2Z11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
492671 Giles County Dialysis 377 Boxwood Lane Pearisburg VA 3 (Philadelphia) 12/12/2018 CWVD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0260 Personnel - Training Program/Periodic Audits Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard