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
102872 Kidney Spa Llc 219 Nw 12th Ave Ste Cu4 Miami FL 4 (Atlanta) 04/04/2024 4RO311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0520 Frequency Reassessment - Unstable - Monthly Standard
102873 Jacksonville South Dialysis Center 14965 Old St Augustine Rd Unit 114 Jacksonville FL 4 (Atlanta) 02/20/2019 ARMZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0146 Ic - Catheters; General Standard
V0228 Mixing Systems - Labeling Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0244 Bicarb Jug Maintenance/Disinfection Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0696 Water Treatment System Techs Training Standard
102873 Jacksonville South Dialysis Center 14965 Old St Augustine Rd Unit 114 Jacksonville FL 4 (Atlanta) 11/18/2020 ZC5N11 Special, 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
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
102873 Jacksonville South Dialysis Center 14965 Old St Augustine Rd Unit 114 Jacksonville FL 4 (Atlanta) 01/14/2026 CWD111 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
V0556 Poc Completed/Signed By Idt & Patient Standard
102874 Fresenius Kidney Care--Dunedin 1121 Overcash Dr Dunedin FL 4 (Atlanta) 05/24/2019 354311 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0510 Msw - Psychosocial Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0520 Frequency Reassessment - Unstable - Monthly 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
102875 Aventura Kidney Center 22 Sw 11th Street Hallandale Beach FL 4 (Atlanta) 06/03/2019 5WMO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
102875 Aventura Kidney Center 22 Sw 11th Street Hallandale Beach FL 4 (Atlanta) 09/20/2019 1JNE11 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0693 Pct - Complete Training Program Standard
102875 Aventura Kidney Center 22 Sw 11th Street Hallandale Beach FL 4 (Atlanta) 10/04/2019 1JNE21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0211 Means Of Egress - General Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
102875 Aventura Kidney Center 22 Sw 11th Street Hallandale Beach FL 4 (Atlanta) 11/06/2019 1JNE22 Standard
Deficiency Tag Deficiency Description Tag Type
K0223 Doors With Self-Closing Devices Standard
102876 Western Community Dialysis Center Llc 11301 Okeechobee Blvd Royal Palm Beach FL 4 (Atlanta) 10/09/2019 B2CQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard