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
072529 Vernon Dialysis Center 460 Hartford Tnpk, Ste C Vernon CT 1 (Boston) 04/20/2018 38QW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
V0194 Carbon Adsorption - Iodine #900/Replacement Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
072529 Vernon Dialysis Center 460 Hartford Tnpk, Ste C Vernon CT 1 (Boston) 10/07/2020 Q6YX11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0542 Idt Develops Plan Of Care Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
072529 Vernon Dialysis Center 460 Hartford Tnpk, Ste C Vernon CT 1 (Boston) 08/25/2021 Y6XW11 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0505 Assess Lab Profile Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
072529 Vernon Dialysis Center 460 Hartford Tnpk, Ste C Vernon CT 1 (Boston) 04/11/2024 BGML11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0146 Ic - Catheters; General Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0509 Rd - Nutritional Status Standard
V0510 Msw - Psychosocial Needs Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
072530 Windham Dialysis Center 375c Tuckie Rd North Windham CT 1 (Boston) 05/10/2018 NDFG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0039 Ep Testing Requirements Standard
V0101 Compliance With Fed/State/Local Laws Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0194 Carbon Adsorption - Iodine #900/Replacement Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0632 Qapi Indicator - Anemia Management Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
072530 Windham Dialysis Center 375c Tuckie Rd North Windham CT 1 (Boston) 10/05/2021 DXSI11 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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0505 Assess Lab Profile Standard
V0508 Assess Renal Bone Disease Standard
V0509 Rd - Nutritional Status Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
072530 Windham Dialysis Center 375c Tuckie Rd North Windham CT 1 (Boston) 05/29/2024 SZOI11 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
V0146 Ic - Catheters; General Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
072532 U S Renal Care North Haven Dialysis 510 Washington Avenue North Haven CT 1 (Boston) 02/06/2019 1YKX11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
072532 U S Renal Care North Haven Dialysis 510 Washington Avenue North Haven CT 1 (Boston) 10/01/2020 L00K11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
072532 U S Renal Care North Haven Dialysis 510 Washington Avenue North Haven CT 1 (Boston) 03/23/2022 V3P611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0542 Idt Develops Plan Of Care Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard