S&C QCOR ESRD 2567s
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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
▼ 092521 Capitol Dialysis Q Street 140 Q Street Ne Washington DC 3 (Philadelphia) 02/12/2021 6PRH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0506 Immunization/Medication History Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 092521 Capitol Dialysis Q Street 140 Q Street Ne Washington DC 3 (Philadelphia) 06/17/2024 0D2B11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0417 Pe-Fire Safety-Life Safety Code Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 092522 Grant Park Dialysis 5000 Nannie Helen Burroughs Avenue Washington DC 3 (Philadelphia) 12/17/2019 9DSJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0013 Development Of Ep Policies And Procedures Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0187 Environment - Schematic Diagrams/Labels Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
▼ 092522 Grant Park Dialysis 5000 Nannie Helen Burroughs Avenue Washington DC 3 (Philadelphia) 04/25/2023 HT1P11 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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0506 Immunization/Medication History Standard
V0542 Idt Develops Plan Of Care Standard
V0545 Effective Nutritional Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 092524 Washington Nursing Dialysis 2425 25th Street Washington DC 3 (Philadelphia) 07/30/2021 HWK011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0121 Ic - Handling Infectious Waste Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0506 Immunization/Medication History Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 092525 Davita International Dialysis 1730 Hamlin Street, Ne Washington DC 3 (Philadelphia) 02/26/2021 FNQF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0028 Dialysis Emergency Equipment Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0230 Mixing Systems - Cleaning Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0506 Immunization/Medication History Standard
V0507 Assess Anemia Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0729 Mr - Complete Records Promptly Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
▼ 092526 Kaiser Foundation Health Plan Of The Mid Atlantic 700 Second Street, Ne Washington DC 3 (Philadelphia) 04/28/2021 VTCD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 092526 Kaiser Foundation Health Plan Of The Mid Atlantic 700 Second Street, Ne Washington DC 3 (Philadelphia) 11/13/2025 XFI911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0730 Mr - Centralize All Info, Each Member Of Idt Has Access Standard
▼ 092527 Rai - Chillum - Washington 6411 Chillum Place, Nw Washington DC 3 (Philadelphia) 11/21/2018 JPFL11 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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0454 Privacy & Confidentiality In Treatment Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 092527 Rai - Chillum - Washington 6411 Chillum Place, Nw Washington DC 3 (Philadelphia) 06/14/2022 ZEGX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0022 Policies/Procedures For Sheltering In Place Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0121 Ic - Handling Infectious Waste Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0506 Immunization/Medication History Standard
V0543 Manage Volume Status Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard