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
112804 Walton Dialysis Center 710 Breedlove Dr Monroe GA 4 (Atlanta) 10/17/2022 HCYM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0036 Ep Training And Testing Standard
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
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0750 Cfc - Governance Condition
112804 Walton Dialysis Center 710 Breedlove Dr Monroe GA 4 (Atlanta) 11/22/2022 HCYM12 Standard
Deficiency Tag Deficiency Description Tag Type
V0112 Ic - Cdc Mmwr 2001 Standard
112804 Walton Dialysis Center 710 Breedlove Dr Monroe GA 4 (Atlanta) 07/11/2024 STV511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0509 Rd - Nutritional Status Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
112806 Snellville Dialysis 2135 Main St E, Ste 130 Snellville GA 4 (Atlanta) 11/15/2018 2FDI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
112806 Snellville Dialysis 2135 Main St E, Ste 130 Snellville GA 4 (Atlanta) 12/22/2023 TTMW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
112806 Snellville Dialysis 2135 Main St E, Ste 130 Snellville GA 4 (Atlanta) 02/05/2025 3XT211 Complaint, 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
V0630 Qapi Indicator - Nutritional Status Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard
112807 Arbor Place Dialysis 9559 Highway 5 Ste #1 Douglasville GA 4 (Atlanta) 02/14/2019 DXWT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0118 Ic - Single Use Vials Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0544 Achieve Adequate Clearance Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
112807 Arbor Place Dialysis 9559 Highway 5 Ste #1 Douglasville GA 4 (Atlanta) 08/28/2025 C3MT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0543 Manage Volume Status Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
112809 Duluth Dialysis Center 3770 Howell Ferry Road Duluth GA 4 (Atlanta) 09/27/2018 LPIR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
112809 Duluth Dialysis Center 3770 Howell Ferry Road Duluth GA 4 (Atlanta) 01/19/2021 SNHG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0772 Responds To Nw Requests/Works Toward Goals Standard