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
▼ 102728 Palm Coast Dialysis 13 Kingswood Dr Ste A Palm Coast FL 4 (Atlanta) 10/20/2020 OIRJ11 Special, 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
V0175 Cfc - Water And Dialysate Quality Condition
V0201 Ro - Chemical Analysis - Frequency Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 102728 Palm Coast Dialysis 13 Kingswood Dr Ste A Palm Coast FL 4 (Atlanta) 05/07/2025 0TGQ11 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
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0184 Environment: Secure And Restricted Standard
▼ 102731 Ocala Regional Kidney Center South 13940 Us Hwy 441 Bldg 400 Lady Lake FL 4 (Atlanta) 01/12/2018 PDVQ12 Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0546 Manage Mineral Metabolism Standard
V0549 Monitor Esa Response Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
▼ 102731 Ocala Regional Kidney Center South 13940 Us Hwy 441 Bldg 400 Lady Lake FL 4 (Atlanta) 08/16/2022 D01Y11 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
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 102732 North Melbourne Dialysis 14 Suntree Pl Ste 102 Melbourne FL 4 (Atlanta) 06/12/2018 ZIBL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
▼ 102732 North Melbourne Dialysis 14 Suntree Pl Ste 102 Melbourne FL 4 (Atlanta) 01/04/2022 CTKE11 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
▼ 102732 North Melbourne Dialysis 14 Suntree Pl Ste 102 Melbourne FL 4 (Atlanta) 08/14/2025 NB4F11 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
▼ 102733 Lakewood Ranch Dialysis 8470 Cooper Creek Blvd University Park FL 4 (Atlanta) 06/28/2018 0KUO11 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0465 Informed - Internal Grievance Process Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 102736 Bma Of South Collier 12703 Tamiami Trail E Ste 121 Naples FL 4 (Atlanta) 12/20/2019 6YPR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0729 Mr - Complete Records Promptly Standard
▼ 102737 Four Freedoms Dialysis 289 Sw Range Ave Madison FL 4 (Atlanta) 02/27/2020 28L611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0543 Manage Volume Status Standard