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
102801 Universal Kidney Center Of Davie 11570 West State Road 84 Davie FL 4 (Atlanta) 01/17/2020 3XY411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0038 Esrd Ep Training Program Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0510 Msw - Psychosocial Needs Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
102802 Fresenius Medical Care Of Royal Palm Beach 6901 Okeechobee Blvd Ste D19 West Palm Beach FL 4 (Atlanta) 02/09/2022 GGP311 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
102803 St Petersburg South Dialysis 2850 34th St S Saint Petersburg FL 4 (Atlanta) 02/28/2018 VFGL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0542 Idt Develops Plan Of Care Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0767 Involuntary Discharge Process Requirements Standard
102803 St Petersburg South Dialysis 2850 34th St S Saint Petersburg FL 4 (Atlanta) 10/13/2020 NU8K11 Special, 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
102803 St Petersburg South Dialysis 2850 34th St S Saint Petersburg FL 4 (Atlanta) 05/03/2024 VLOD11 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
V0765 Internal Grievance Process Components & Implemented Standard
102804 Rcg Destin 7720 Us Hwy 98 W Ste 150 Miramar Beach FL 4 (Atlanta) 02/12/2020 N01E11 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
102805 East Ft Lauderdale Dialysis Center 1301 S Andrews Ave Ste 101 Fort Lauderdale FL 4 (Atlanta) 08/10/2022 TI4I11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses 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
102806 Renal Care Group - Brevard 1355 Palm Bay Road Melbourne FL 4 (Atlanta) 02/15/2018 3M3611 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0547 Manage Anemia/H/H Measured Monthly Standard
102806 Renal Care Group - Brevard 1355 Palm Bay Road Melbourne FL 4 (Atlanta) 08/25/2022 L5V711 Complaint, 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
V0502 Assess Current Health Status Inc Comorbids Standard
V0511 Dialysis Access Type & Maintenance Standard
V0543 Manage Volume Status Standard
102806 Renal Care Group - Brevard 1355 Palm Bay Road Melbourne FL 4 (Atlanta) 01/13/2026 G5KO11 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