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
102886 East Tampa Dialysis 1701 E 9th Ave Ybor City FL 4 (Atlanta) 03/13/2020 NPS811 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0765 Internal Grievance Process Components & Implemented Standard
102886 East Tampa Dialysis 1701 E 9th Ave Ybor City FL 4 (Atlanta) 07/09/2024 DFH911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0201 Ro - Chemical Analysis - Frequency Standard
V0465 Informed - Internal Grievance Process Standard
V0544 Achieve Adequate Clearance Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
102889 Pinellas West Shore Dialysis 3451 66th St N Ste A Saint Petersburg FL 4 (Atlanta) 02/18/2021 FH4S11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
102891 Fresenius Medical Care Tradition 1748 Sw St Lucie West Blvd Port Saint Lucie FL 4 (Atlanta) 12/08/2021 JWZV11 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
102892 Palm Breeze Dialysis 14942 Tamiami Trl Ste E North Port FL 4 (Atlanta) 12/11/2019 PV3D11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0455 Privacy & Confidentiality In Records Standard
V0543 Manage Volume Status Standard
102893 Fresenius Medical Care The Glades 16740 Sw 88th St Miami FL 4 (Atlanta) 12/18/2020 Z3ZJ11 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
102894 Kidney Kare Outpatient Services 326 E Dania Beach Blvd Dania Beach FL 4 (Atlanta) 09/25/2019 DW0J11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
V0767 Involuntary Discharge Process Requirements Standard
102894 Kidney Kare Outpatient Services 326 E Dania Beach Blvd Dania Beach FL 4 (Atlanta) 02/16/2022 3TL211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0039 Ep Testing Requirements Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx 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
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0630 Qapi Indicator - Nutritional Status Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
V0712 Md Resp - Qapi Program Standard
102896 Florida Dialysis Center Of Orlando 1711 35th St Unit 109, 110 Orlando FL 4 (Atlanta) 02/06/2020 7PY411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0765 Internal Grievance Process Components & Implemented Standard
102896 Florida Dialysis Center Of Orlando 1711 35th St Unit 109, 110 Orlando FL 4 (Atlanta) 11/04/2021 VNXT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0556 Poc Completed/Signed By Idt & Patient Standard