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
512549 Fresenius Medical Care Braxton County 256 Skidmore Lane Sutton WV 3 (Philadelphia) 12/05/2023 F47N11 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
512550 Fmc Monongalia County 3000 Mon Health Medical Park Drive Morgantown WV 3 (Philadelphia) 06/27/2018 SB8O21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
K0000 Initial Comments - Not A Deficiency Citation Memo
K0321 Hazardous Areas - Enclosure Standard
K0926 Gas Equipment - Qualifications And Training Standard
512550 Fmc Monongalia County 3000 Mon Health Medical Park Drive Morgantown WV 3 (Philadelphia) 06/02/2021 XRSV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0121 Ic - Handling Infectious Waste Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0400 Cfc - Physical Environment Condition
512552 Fresenius Kidney Care Weirton 100 Colliers Way, Suite 1 Weirton WV 3 (Philadelphia) 03/23/2022 EFQH11 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
V0800 Covid-19 Vaccination Of Facility Staff Standard
512552 Fresenius Kidney Care Weirton 100 Colliers Way, Suite 1 Weirton WV 3 (Philadelphia) 10/19/2023 JCWE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0772 Responds To Nw Requests/Works Toward Goals Standard
522301 Ssm Health Dialysis Center 620 W Brown St Waupun WI 5 (Chicago) 11/12/2019 QY2K11 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
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0545 Effective Nutritional Status Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
522301 Ssm Health Dialysis Center 620 W Brown St Waupun WI 5 (Chicago) 01/11/2023 J8XV11 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
522311 Mayo Clinic Dialysis Eau Claire 1221 Whipple St Eau Claire WI 5 (Chicago) 04/19/2018 SFE011 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0195 Carbon Adsorption - 10 Minutes Ebct Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0458 Informed - All Modalities & Settings Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0632 Qapi Indicator - Anemia Management Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
522311 Mayo Clinic Dialysis Eau Claire 1221 Whipple St Eau Claire WI 5 (Chicago) 08/17/2022 TLAF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
522312 Fresenius Kidney Care Green Bay 2670 Monroe Rd Suite 160 De Pere WI 5 (Chicago) 09/20/2018 9FMN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0042 Integrated Ep Program Standard
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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0197 Carbon Adsorption - Action If First Test Positive Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0202 Di - Continuous Monitoring Resistivity/Logged 2 X Day Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0562 Patient/Family Education & Training Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0633 Qapi Indicator - Vascular Access Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0693 Pct - Complete Training Program Standard
V0694 Pct Training Program Content Standard