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
142661 Stony Creek Dialysis 6246 W 95th St Oak Lawn IL 5 (Chicago) 01/12/2022 O1NF11 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
142662 South Barrington Dialysis Center 33 W Higgins Road Suite 920 945 South Barrington IL 5 (Chicago) 04/05/2018 SQCS11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0132 Ic - Training And Education Standard
142662 South Barrington Dialysis Center 33 W Higgins Road Suite 920 945 South Barrington IL 5 (Chicago) 06/30/2021 IV1V11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
142663 Fresenius Kidney Care Lincolnwood Dialysis 7301 North Lincoln Ave Suite 205 Lincolnwood IL 5 (Chicago) 03/01/2019 RZND11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0690 Dietitian - 1 Year Experience Standard
142663 Fresenius Kidney Care Lincolnwood Dialysis 7301 North Lincoln Ave Suite 205 Lincolnwood IL 5 (Chicago) 05/26/2020 J8VK11 Special
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
V0131 Ic - Hbv - Isolation - Staffing Standard
142663 Fresenius Kidney Care Lincolnwood Dialysis 7301 North Lincoln Ave Suite 205 Lincolnwood IL 5 (Chicago) 04/22/2022 GV9W11 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
V0628 Measure, Analyze And Track Quality Indicators Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
142664 Crystal Lake Dialysis Center 6298 Northwest Highway Crystal Lake IL 5 (Chicago) 02/25/2021 JF6G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
142664 Crystal Lake Dialysis Center 6298 Northwest Highway Crystal Lake IL 5 (Chicago) 04/04/2024 9QKZ11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
142665 Roxbury Dialysis Center 622 Roxbury Road Rockford IL 5 (Chicago) 01/09/2020 YP2811 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
V0504 Assess B/P & Fluid Management Needs Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
142665 Roxbury Dialysis Center 622 Roxbury Road Rockford IL 5 (Chicago) 08/02/2023 TQ7W11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0184 Environment: Secure And Restricted Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard