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
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 08/06/2018 LS1921 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0754 Soiled Linen And Trash Containers Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 08/07/2018 LS1911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0220 Bacterial Control - Machine Supply Line Disinfected Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0542 Idt Develops Plan Of Care Standard
V0593 Monitor Water/Dialysate Inc On Site Evaluation Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 10/17/2018 LS1912 Standard
Deficiency Tag Deficiency Description Tag Type
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 09/06/2019 FX6V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0200 Ro - Monitor/Alarm/Prevent Use Of Unsafe Water Standard
V0513 Transplantation Referral Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 01/06/2021 F69B11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 12/14/2022 D9EC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
102302 Adventhealth Orlando 601 E Rollins St Orlando FL 4 (Atlanta) 09/24/2024 2GUR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0033 Methods For Sharing Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
102303 St Mary's Medical Center, Inc 901 45th St West Palm Beach FL 4 (Atlanta) 05/03/2018 PBB911 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
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0132 Ic - Training And Education Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0253 Microbial Monitoring - Mo Dialysate Sample/Collection/Freq Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0506 Immunization/Medication History Standard
V0507 Assess Anemia Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0696 Water Treatment System Techs Training Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
102303 St Mary's Medical Center, Inc 901 45th St West Palm Beach FL 4 (Atlanta) 02/28/2019 PWRM11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
102303 St Mary's Medical Center, Inc 901 45th St West Palm Beach FL 4 (Atlanta) 09/13/2023 0Z5811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0546 Manage Mineral Metabolism Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard