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
102770 Fresenius Medical Care North Pensacola 1040 E Nine Mile Rd Pensacola FL 4 (Atlanta) 03/01/2023 CTQY11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0507 Assess Anemia Standard
102771 Chipley Dialysis 877 3rd St Ste 2 Chipley FL 4 (Atlanta) 08/19/2020 FJGS11 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
V0628 Measure, Analyze And Track Quality Indicators Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
102771 Chipley Dialysis 877 3rd St Ste 2 Chipley FL 4 (Atlanta) 08/14/2024 044L11 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
102772 Orlando Home Training Dialysis 116 Sturtevant St Ste 2 Orlando FL 4 (Atlanta) 03/21/2019 IJY411 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
102773 St Petersburg Dialysis 1117 Arlington Ave N Saint Petersburg FL 4 (Atlanta) 04/13/2018 9DX611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0507 Assess Anemia Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
102773 St Petersburg Dialysis 1117 Arlington Ave N Saint Petersburg FL 4 (Atlanta) 08/26/2019 R4P111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0628 Measure, Analyze And Track Quality Indicators Standard
102773 St Petersburg Dialysis 1117 Arlington Ave N Saint Petersburg FL 4 (Atlanta) 11/16/2023 K8U811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
102774 Renal Associates Of Boca Raton 1905 Clint Moore Rd Ste 211 Boca Raton FL 4 (Atlanta) 10/22/2018 7TQU11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
102774 Renal Associates Of Boca Raton 1905 Clint Moore Rd Ste 211 Boca Raton FL 4 (Atlanta) 01/22/2020 SEW221 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0200 Means Of Egress Requirements - Other Standard
K0325 Alcohol Based Hand Rub Dispenser (Abhr) Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0371 Subdivision Of Building Spaces - Smoke Compar Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
102774 Renal Associates Of Boca Raton 1905 Clint Moore Rd Ste 211 Boca Raton FL 4 (Atlanta) 01/23/2020 SEW211 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard