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
102639 Ocoee Dialysis 11140 W Colonial Dr Ste 5 Ocoee FL 4 (Atlanta) 06/14/2022 2F7P12 Standard
Deficiency Tag Deficiency Description Tag Type
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
102642 Sun City Center Dialysis 783 Cortaro Dr Ruskin FL 4 (Atlanta) 03/16/2023 NGEX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0187 Environment - Schematic Diagrams/Labels Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0765 Internal Grievance Process Components & Implemented Standard
102645 Complete Dialysis Care 7467 W Sample Rd Coral Springs FL 4 (Atlanta) 11/28/2018 5BF411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0200 Ro - Monitor/Alarm/Prevent Use Of Unsafe Water Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0544 Achieve Adequate Clearance Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
102645 Complete Dialysis Care 7467 W Sample Rd Coral Springs FL 4 (Atlanta) 11/14/2024 GGKX11 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status 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
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
102646 Bradenton Dialysis 3501 Cortez Rd W Ste 3 Bradenton FL 4 (Atlanta) 04/19/2022 7BWB11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
102647 Pembroke Pines Dialysis 10970 Pines Blvd, Suite 70 Pembroke Pines FL 4 (Atlanta) 09/18/2024 8B1611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
102648 Miami Lakes Artificial Kidney Center 14600 Nw 60th Ave Miami Lakes FL 4 (Atlanta) 07/14/2022 XGPO11 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
102649 Dialysis Clinic Inc 11705 San Jose Blvd Suite 100 Jacksonville FL 4 (Atlanta) 08/14/2020 NK8I11 Special, 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
V0543 Manage Volume Status Standard
102649 Dialysis Clinic Inc 11705 San Jose Blvd Suite 100 Jacksonville FL 4 (Atlanta) 09/17/2025 G08E11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0544 Achieve Adequate Clearance Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
102651 Palm Bay Kidney Center 220 Medplex Parkway Ne Palm Bay FL 4 (Atlanta) 12/16/2021 7LMO11 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