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
▼ 102668 Bma Of Starke 444 W Madison St Starke FL 4 (Atlanta) 08/06/2020 7QNH11 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
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
▼ 102668 Bma Of Starke 444 W Madison St Starke FL 4 (Atlanta) 05/17/2023 KDFF11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0544 Achieve Adequate Clearance Standard
▼ 102668 Bma Of Starke 444 W Madison St Starke FL 4 (Atlanta) 07/18/2024 UWHE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0544 Achieve Adequate Clearance Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
▼ 102668 Bma Of Starke 444 W Madison St Starke FL 4 (Atlanta) 04/10/2025 V27N11 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
V0544 Achieve Adequate Clearance Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
▼ 102670 Lighthouse Point Dialysis 200 Sw Natura Ave Deerfield Beach FL 4 (Atlanta) 10/04/2019 UY3K11 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 102673 West Tallahassee Dialysis 5857 W Tennessee St Tallahassee FL 4 (Atlanta) 07/12/2018 K8H311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0036 Ep Training And Testing 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0544 Achieve Adequate Clearance Standard
V0549 Monitor Esa Response Standard
V0632 Qapi Indicator - Anemia Management Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
▼ 102674 Fresenius Kidney Care Crestview 223 Redstone Ave Crestview FL 4 (Atlanta) 06/14/2018 PKE011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0767 Involuntary Discharge Process Requirements Standard
▼ 102676 Bma Of Palatka 6541 St Johns Ave Palatka FL 4 (Atlanta) 01/16/2018 R0RV12 Standard
Deficiency Tag Deficiency Description Tag Type
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0509 Rd - Nutritional Status Standard
V0549 Monitor Esa Response Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0771 Electronic Data Submission Required For Program Adm Standard
▼ 102676 Bma Of Palatka 6541 St Johns Ave Palatka FL 4 (Atlanta) 06/16/2022 619U11 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
V0544 Achieve Adequate Clearance Standard
▼ 102676 Bma Of Palatka 6541 St Johns Ave Palatka FL 4 (Atlanta) 04/12/2024 JM3Z11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard