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
▼ 102548 Bma Of Lake City 1445 Sw Main Blvd Ste 120 Lake City FL 4 (Atlanta) 09/27/2018 HTN311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
▼ 102549 Port Charlotte Artificial Kidney Center 4300 Kings Hwy Ste 406 D17 Port Charlotte FL 4 (Atlanta) 04/04/2019 QTMC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0502 Assess Current Health Status Inc Comorbids Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
▼ 102549 Port Charlotte Artificial Kidney Center 4300 Kings Hwy Ste 406 D17 Port Charlotte FL 4 (Atlanta) 03/02/2024 HYWI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 102551 Leesburg Dialysis Center 8425 Us Highway 441 Ste 104 Leesburg FL 4 (Atlanta) 05/30/2018 H6R111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
▼ 102551 Leesburg Dialysis Center 8425 Us Highway 441 Ste 104 Leesburg FL 4 (Atlanta) 08/29/2019 GXC711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
▼ 102551 Leesburg Dialysis Center 8425 Us Highway 441 Ste 104 Leesburg FL 4 (Atlanta) 03/29/2023 I49H11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0260 Personnel - Training Program/Periodic Audits Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
▼ 102551 Leesburg Dialysis Center 8425 Us Highway 441 Ste 104 Leesburg FL 4 (Atlanta) 12/02/2024 1DEZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 102553 Rai-S Courtenay-Merritt Island 245 S Courtenay Pkwy Ste A Merritt Island FL 4 (Atlanta) 02/22/2022 N9G211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
▼ 102554 Plant City Dialysis 2301 S Frontage Rd Plant City FL 4 (Atlanta) 08/16/2018 683L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0543 Manage Volume Status Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
▼ 102554 Plant City Dialysis 2301 S Frontage Rd Plant City FL 4 (Atlanta) 08/07/2024 18QX11 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
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard