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
492717 Stone Ridge Dialysis 24640 Southpoint Drive, Suite 160 Chantilly VA 3 (Philadelphia) 02/22/2018 S2W011 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0259 Personnel - P&P Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
492717 Stone Ridge Dialysis 24640 Southpoint Drive, Suite 160 Chantilly VA 3 (Philadelphia) 02/17/2021 FOPG11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
492717 Stone Ridge Dialysis 24640 Southpoint Drive, Suite 160 Chantilly VA 3 (Philadelphia) 06/04/2024 DL0C11 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
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
492718 Fresenius Kidney Care - Falls Run 127 Lichfield Blvd Fredericksburg VA 3 (Philadelphia) 03/09/2021 5JCT11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0022 Policies/Procedures For Sheltering In Place Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
492718 Fresenius Kidney Care - Falls Run 127 Lichfield Blvd Fredericksburg VA 3 (Philadelphia) 04/09/2024 1WY211 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0550 Vascular Access - Monitor/Referrals Standard
492719 Kempsville Dialysis 1920 Centerville Turnpike Suite 122 Virginia Beach VA 3 (Philadelphia) 05/02/2018 2W2911 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
492719 Kempsville Dialysis 1920 Centerville Turnpike Suite 122 Virginia Beach VA 3 (Philadelphia) 07/20/2020 9E7311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0767 Involuntary Discharge Process Requirements Standard
492719 Kempsville Dialysis 1920 Centerville Turnpike Suite 122 Virginia Beach VA 3 (Philadelphia) 03/16/2021 YGFF11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0188 Sediment Filters - Config And Monitoring Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
492719 Kempsville Dialysis 1920 Centerville Turnpike Suite 122 Virginia Beach VA 3 (Philadelphia) 03/28/2024 0FL211 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
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0508 Assess Renal Bone Disease Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
492720 Pentagon City Dialysis 1785 South Hayes Street Arlington VA 3 (Philadelphia) 08/11/2021 T5DH11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard