S&C QCOR ESRD 2567s
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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
▼ 112720 Fmc New Bailie Dialysis 1717 Walton Way Augusta GA 4 (Atlanta) 08/12/2021 4NLQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0750 Cfc - Governance Condition
V0767 Involuntary Discharge Process Requirements Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
▼ 112720 Fmc New Bailie Dialysis 1717 Walton Way Augusta GA 4 (Atlanta) 12/19/2024 4UG611 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0562 Patient/Family Education & Training Standard
V0750 Cfc - Governance Condition
▼ 112721 Fmc Dialysis Services Woodstock 110 Londonderry Court, Ste 100 Woodstock GA 4 (Atlanta) 10/02/2019 R9KQ12 Standard
Deficiency Tag Deficiency Description Tag Type
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
▼ 112722 Nephrology Centers Of America-Augusta 1000 Telfair Street Augusta GA 4 (Atlanta) 06/21/2018 147211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0632 Qapi Indicator - Anemia Management Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112722 Nephrology Centers Of America-Augusta 1000 Telfair Street Augusta GA 4 (Atlanta) 08/10/2022 FHYE11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0632 Qapi Indicator - Anemia Management Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112722 Nephrology Centers Of America-Augusta 1000 Telfair Street Augusta GA 4 (Atlanta) 03/07/2023 MLH511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0400 Cfc - Physical Environment Condition
V0405 Pe - Comfortable Temperature Standard
V0750 Cfc - Governance Condition
V0765 Internal Grievance Process Components & Implemented Standard
▼ 112723 Vidalia First Street Dialysis 906 E First Street Vidalia GA 4 (Atlanta) 12/08/2021 I7E211 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 112724 Montezuma Dialysis 114 Devaughn Street Montezuma GA 4 (Atlanta) 03/07/2019 CLDM11 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
V0187 Environment - Schematic Diagrams/Labels Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 112725 Wrightsville Dialysis 2240 W Elm St Wrightsville GA 4 (Atlanta) 01/25/2018 I2SR11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
▼ 112726 Us Renal Care Monticello Dialysis 1393 Funderburg Drive Monticello GA 4 (Atlanta) 05/23/2019 58PU11 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
V0406 Pe - Accommodations For Patient Privacy Standard
V0556 Poc Completed/Signed By Idt & Patient Standard