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
102877 Ara North Jacksonville 1725 Oakhurst Ave Ste 100 Jacksonville FL 4 (Atlanta) 02/06/2020 XDIU11 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
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
102877 Ara North Jacksonville 1725 Oakhurst Ave Ste 100 Jacksonville FL 4 (Atlanta) 05/20/2021 DQIH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
102877 Ara North Jacksonville 1725 Oakhurst Ave Ste 100 Jacksonville FL 4 (Atlanta) 07/24/2025 Y1PX11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
102878 Advanced Dialysis Center Of Fort Lauderdale 911 E Oakland Park Blvd Oakland Park FL 4 (Atlanta) 03/25/2019 M1X811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0544 Achieve Adequate Clearance Standard
102878 Advanced Dialysis Center Of Fort Lauderdale 911 E Oakland Park Blvd Oakland Park FL 4 (Atlanta) 05/20/2022 8BOI11 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
V0509 Rd - Nutritional Status Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
102880 Winter Garden Dialysis 1222 Winter Garden Vineland Rd Winter Garden FL 4 (Atlanta) 06/02/2023 Q0QC11 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
V0111 Ic - Sanitary Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
102883 Renal Carepartners At Memorial West Llc 601 N Flamingo Rd Ste 109 Pembroke Pines FL 4 (Atlanta) 02/11/2021 NGBF11 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
V0114 Ic - Sinks Available Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0507 Assess Anemia Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
102884 Orlando Park Dialysis 5397 W Colonial Dr Ste 120 Orlando FL 4 (Atlanta) 07/23/2019 5B5411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0540 Cfc: Patient Plan Of Care Condition
V0546 Manage Mineral Metabolism Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0634 Qapi Indicator - Medical Injuries/Errors Standard
102885 Greater Tampa At Home 4204 N Macdill Ave Ste 1b Tampa FL 4 (Atlanta) 04/12/2019 66P411 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
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0595 Meet Rd 52 2004 Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
102886 East Tampa Dialysis 1701 E 9th Ave Ybor City FL 4 (Atlanta) 12/03/2019 V1XJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard