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
112876 Victory Dialysis 2401 Shelby Street Columbus GA 4 (Atlanta) 07/03/2019 667J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
112876 Victory Dialysis 2401 Shelby Street Columbus GA 4 (Atlanta) 01/12/2024 F3ZI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0632 Qapi Indicator - Anemia Management Standard
V0750 Cfc - Governance Condition
112877 Tri County Dialysis 2540 Flat Shoals Rd Atlanta GA 4 (Atlanta) 09/28/2020 SQW611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
112878 Dialysis Clinic Inc- Camp Creek 3492 Washington Road Suite 400 East Point GA 4 (Atlanta) 01/23/2020 WZQG11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0121 Ic - Handling Infectious Waste Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0711 Medical Director Qualified/Accountable To Governing Body Standard
112878 Dialysis Clinic Inc- Camp Creek 3492 Washington Road Suite 400 East Point GA 4 (Atlanta) 02/26/2020 L37R11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0767 Involuntary Discharge Process Requirements Standard
112879 Fresenius Kidney Care Chapel Hill 3138 Golf Rigde Blvd Douglasville GA 4 (Atlanta) 08/08/2019 HPTY11 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
112880 South Fulton Home Training 1275 Cleveland Ave 1 East Point GA 4 (Atlanta) 07/17/2019 SR9O11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0591 Home Patient Plan Of Care Dev/Updated Standard
112881 Meriwether Greenville Dialysis 4130 Whitehouse Pkwy Warm Springs GA 4 (Atlanta) 06/24/2021 UD0X11 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
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0632 Qapi Indicator - Anemia Management Standard
112881 Meriwether Greenville Dialysis 4130 Whitehouse Pkwy Warm Springs GA 4 (Atlanta) 08/03/2023 E2ZH11 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
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
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
112882 Us Renal Care Valdosta Home Program 3564 North Crossing Circle, Ste B Valdosta GA 4 (Atlanta) 11/17/2021 U3L311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0404 Pe - Patient Care Environment - Sufficient Space Standard