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
▼ 112798 Lagrange Dialysis Clinic 140 Old Mill Road Lagrange GA 4 (Atlanta) 12/31/2025 XRW911 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112799 South Henry Dialysis, Llc 1095 Henry Parkway Connector Mcdonough GA 4 (Atlanta) 10/09/2019 GSX611 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 112799 South Henry Dialysis, Llc 1095 Henry Parkway Connector Mcdonough GA 4 (Atlanta) 01/08/2025 6RQ511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0131 Ic - Hbv - Isolation - Staffing Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0750 Cfc - Governance Condition
▼ 112800 Fresenius Medical Care Habersham 735 N Historic Hwy 441 Demorest GA 4 (Atlanta) 06/24/2019 EG6P12 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
▼ 112800 Fresenius Medical Care Habersham 735 N Historic Hwy 441 Demorest GA 4 (Atlanta) 12/01/2021 N91P11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
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
V0187 Environment - Schematic Diagrams/Labels Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0630 Qapi Indicator - Nutritional Status Standard
▼ 112801 Dialysis Clinic, Inc- Clark Home Training Center 1210 N Jefferson Street Albany GA 4 (Atlanta) 03/15/2024 SN0411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0307 Personnel Qualifications Standard
V0542 Idt Develops Plan Of Care Standard
V0594 Preconfig Hd Sys -Testing Water/Dialysate Follow Dfu/Fda Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 112802 Rincon Dialysis 604 Towne Park West Rincon GA 4 (Atlanta) 09/18/2019 3JCF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0556 Poc Completed/Signed By Idt & Patient Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
▼ 112803 Kidney Dialysis Center 640 Martin Luther King Jr Blvd Macon GA 4 (Atlanta) 02/12/2019 CTN312 Standard
Deficiency Tag Deficiency Description Tag Type
V0113 Ic - Wear Gloves/Hand Hygiene Standard
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
V0595 Meet Rd 52 2004 Standard
▼ 112803 Kidney Dialysis Center 640 Martin Luther King Jr Blvd Macon GA 4 (Atlanta) 07/10/2019 8GN711 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
V0503 Appropriateness Of Dialysis Rx Standard
V0632 Qapi Indicator - Anemia Management Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 112803 Kidney Dialysis Center 640 Martin Luther King Jr Blvd Macon GA 4 (Atlanta) 08/06/2025 F5QP11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard