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
112578 Buckhead Dialysis 1575 Northside Drive, Nw, Ste 365 Atlanta GA 4 (Atlanta) 07/13/2018 03G311 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
112578 Buckhead Dialysis 1575 Northside Drive, Nw, Ste 365 Atlanta GA 4 (Atlanta) 08/01/2018 6K0C11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
112579 Wylds Road Dialysis 1815 Wylds Road Augusta GA 4 (Atlanta) 07/27/2020 29JG11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0404 Pe - Patient Care Environment - Sufficient Space Standard
112579 Wylds Road Dialysis 1815 Wylds Road Augusta GA 4 (Atlanta) 04/01/2021 481L11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0632 Qapi Indicator - Anemia Management Standard
112579 Wylds Road Dialysis 1815 Wylds Road Augusta GA 4 (Atlanta) 11/30/2022 YH2I11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
112581 Cobb Dialysis 3885 Medical Park Drive, Suite 110 Austell GA 4 (Atlanta) 06/04/2019 FDIJ12 Standard
Deficiency Tag Deficiency Description Tag Type
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
112581 Cobb Dialysis 3885 Medical Park Drive, Suite 110 Austell GA 4 (Atlanta) 11/07/2019 DOZ111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0562 Patient/Family Education & Training Standard
112581 Cobb Dialysis 3885 Medical Park Drive, Suite 110 Austell GA 4 (Atlanta) 08/15/2023 WK3J11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
112583 Dialysis Center Of Middle Georgia- Macon 2494 2nd Street Macon GA 4 (Atlanta) 08/30/2018 PG9L12 Standard
Deficiency Tag Deficiency Description Tag Type
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0711 Medical Director Qualified/Accountable To Governing Body Standard
112583 Dialysis Center Of Middle Georgia- Macon 2494 2nd Street Macon GA 4 (Atlanta) 10/02/2019 R9M111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0765 Internal Grievance Process Components & Implemented Standard