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
102609 Bma Of Port St Lucie 709 Sw Port St Lucie Blvd Port Saint Lucie FL 4 (Atlanta) 06/07/2023 FMSU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0128 Ic - Hbv - Isolation (Existing Facility) 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
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
102610 Fmc Dialysis Services N Jacksonville 10614 Lem Turner Rd Jacksonville FL 4 (Atlanta) 09/20/2018 WDWV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
102610 Fmc Dialysis Services N Jacksonville 10614 Lem Turner Rd Jacksonville FL 4 (Atlanta) 03/29/2019 LEUT11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
102610 Fmc Dialysis Services N Jacksonville 10614 Lem Turner Rd Jacksonville FL 4 (Atlanta) 10/07/2021 1F5P11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0554 Transplantation Status Plan Or Why Not Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
102612 Bma Jacksonville 1944 Atlantic Blvd Jacksonville FL 4 (Atlanta) 01/05/2018 2C5411 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
102613 Bma Gainesville East 1961 N Main St Gainesville FL 4 (Atlanta) 02/03/2021 HTPC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
102613 Bma Gainesville East 1961 N Main St Gainesville FL 4 (Atlanta) 09/13/2023 9V3C11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
102614 Daytona South Dialysis 955 Foster Way, Ste 306 South Daytona FL 4 (Atlanta) 07/24/2019 XU6111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
102614 Daytona South Dialysis 955 Foster Way, Ste 306 South Daytona FL 4 (Atlanta) 12/11/2019 420Y11 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
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0255 Microbial Monitoring - Repeat Cultures Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
102615 Pompano Beach Artificial Kidney Center 600 Sw 3rd St Ste 1100 Pompano Beach FL 4 (Atlanta) 02/22/2023 XQP911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0509 Rd - Nutritional Status Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard