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
112702 Trinity Dialysis Clinic 1354 Cleveland Avenue East Point GA 4 (Atlanta) 09/07/2018 O37011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
112702 Trinity Dialysis Clinic 1354 Cleveland Avenue East Point GA 4 (Atlanta) 07/14/2021 1IKL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0540 Cfc: Patient Plan Of Care Condition
V0547 Manage Anemia/H/H Measured Monthly Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0632 Qapi Indicator - Anemia Management Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition
112702 Trinity Dialysis Clinic 1354 Cleveland Avenue East Point GA 4 (Atlanta) 07/14/2023 6DXZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0540 Cfc: Patient Plan Of Care Condition
V0556 Poc Completed/Signed By Idt & Patient Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0750 Cfc - Governance Condition
112702 Trinity Dialysis Clinic 1354 Cleveland Avenue East Point GA 4 (Atlanta) 07/18/2024 UJSB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
112702 Trinity Dialysis Clinic 1354 Cleveland Avenue East Point GA 4 (Atlanta) 01/12/2026 BJLD11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
112704 Dialysis Clinic, Inc- West Town 1921 West Oakridge Drive Albany GA 4 (Atlanta) 07/27/2018 1UOJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
V0765 Internal Grievance Process Components & Implemented Standard
112704 Dialysis Clinic, Inc- West Town 1921 West Oakridge Drive Albany GA 4 (Atlanta) 06/25/2020 LG4T11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
112704 Dialysis Clinic, Inc- West Town 1921 West Oakridge Drive Albany GA 4 (Atlanta) 02/09/2024 XHWZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0510 Msw - Psychosocial Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
112705 Fresenius Medical Care Stone Mountain 5723 Memorial Drive Stone Mountain GA 4 (Atlanta) 10/18/2018 42LW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0711 Medical Director Qualified/Accountable To Governing Body Standard
112705 Fresenius Medical Care Stone Mountain 5723 Memorial Drive Stone Mountain GA 4 (Atlanta) 02/14/2025 DO8L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard