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
▼ 112784 North Henry Dialysis 3546 Highway 138 Se Ste 150 Stockbridge GA 4 (Atlanta) 12/16/2024 ENLS11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
▼ 112785 Fmcna South Dekalb/Rockdale 6085 Hillandale Drive Lithonia GA 4 (Atlanta) 07/13/2018 UG1511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112785 Fmcna South Dekalb/Rockdale 6085 Hillandale Drive Lithonia GA 4 (Atlanta) 02/13/2020 WT3G11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112786 Fresenius Medical Care River City 2443 Brookstone Ctr Pkwy Ste B Columbus GA 4 (Atlanta) 05/07/2018 OTHK12 Standard
Deficiency Tag Deficiency Description Tag Type
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0323 Inventory Control Standard
▼ 112786 Fresenius Medical Care River City 2443 Brookstone Ctr Pkwy Ste B Columbus GA 4 (Atlanta) 03/04/2021 9FZ611 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
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112786 Fresenius Medical Care River City 2443 Brookstone Ctr Pkwy Ste B Columbus GA 4 (Atlanta) 08/09/2022 18N011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0121 Ic - Handling Infectious Waste Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 112786 Fresenius Medical Care River City 2443 Brookstone Ctr Pkwy Ste B Columbus GA 4 (Atlanta) 09/04/2025 0UVF11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0114 Ic - Sinks Available Standard
V0121 Ic - Handling Infectious Waste Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 112788 Union City Dialysis 6851 Shannon Pkwy Ste 200 Union City GA 4 (Atlanta) 05/03/2018 X5ZK11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
▼ 112788 Union City Dialysis 6851 Shannon Pkwy Ste 200 Union City GA 4 (Atlanta) 06/03/2019 UBKQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 112788 Union City Dialysis 6851 Shannon Pkwy Ste 200 Union City GA 4 (Atlanta) 02/24/2023 4BZH11 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
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0542 Idt Develops Plan Of Care Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard