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
102820 First Coast Dialysis Center 5730 Bowden Rd Ste 110 Jacksonville FL 4 (Atlanta) 04/04/2018 8O4F11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0543 Manage Volume Status Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
102820 First Coast Dialysis Center 5730 Bowden Rd Ste 110 Jacksonville FL 4 (Atlanta) 01/24/2019 QN6411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0146 Ic - Catheters; General Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
102820 First Coast Dialysis Center 5730 Bowden Rd Ste 110 Jacksonville FL 4 (Atlanta) 05/15/2024 OUJ611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0184 Environment: Secure And Restricted Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
102822 Lake Griffin East Dialysis 401 E North Ave Leesburg FL 4 (Atlanta) 04/04/2018 1KSS11 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
V0546 Manage Mineral Metabolism Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
102823 Winter Park Home Pd Dialysis 4100 Metric Dr Ste 200 Winter Park FL 4 (Atlanta) 08/15/2023 DHWC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0590 Coordination Of Care By Member Of Idt Standard
102824 Us Renal Care South Tampa Dialysis 731 W Lumsden Rd Brandon FL 4 (Atlanta) 08/06/2018 A52R11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
102824 Us Renal Care South Tampa Dialysis 731 W Lumsden Rd Brandon FL 4 (Atlanta) 01/22/2020 O9SJ11 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
V0519 Frequency Reassessment - Stable - Annual Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
102825 Ocala Regional Kidney Centers Home Dialysis Div 2860 Se 1st Ave Ocala FL 4 (Atlanta) 03/23/2018 LQFP11 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
V0511 Dialysis Access Type & Maintenance Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0595 Meet Rd 52 2004 Standard
102827 Sanford Dialysis 902 S Persimmon Ave Sanford FL 4 (Atlanta) 06/30/2021 9JOO12 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0544 Achieve Adequate Clearance Standard
102827 Sanford Dialysis 902 S Persimmon Ave Sanford FL 4 (Atlanta) 01/14/2025 2BJE11 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