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
142747 Driftwood Dialysis 1808 S West Ave Freeport IL 5 (Chicago) 05/16/2019 FP3Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0132 Ic - Training And Education Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
142747 Driftwood Dialysis 1808 S West Ave Freeport IL 5 (Chicago) 12/01/2022 WXVW11 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
V0712 Md Resp - Qapi Program Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
142749 Us Renal Care Bolingbrook Dialysis 396 Remington Blvd, Ste 140 Bolingbrook IL 5 (Chicago) 01/31/2020 R9MO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
142750 Us Renal Care Oak Brook Dialysis 1201-B Butterfield Rd Downers Grove IL 5 (Chicago) 10/09/2019 QP8I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0132 Ic - Training And Education Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
142750 Us Renal Care Oak Brook Dialysis 1201-B Butterfield Rd Downers Grove IL 5 (Chicago) 09/02/2021 KNHH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0468 Informed - D/C & Transfer Policies Inc Involuntary Dc Standard
V0767 Involuntary Discharge Process Requirements Standard
142750 Us Renal Care Oak Brook Dialysis 1201-B Butterfield Rd Downers Grove IL 5 (Chicago) 02/10/2022 DM3V11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
142750 Us Renal Care Oak Brook Dialysis 1201-B Butterfield Rd Downers Grove IL 5 (Chicago) 07/18/2024 CT6711 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
V0132 Ic - Training And Education Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0503 Appropriateness Of Dialysis Rx Standard
142751 Us Renal Care Advanced Home Therapies Downersgrove 1201 Butterfield Rd Ste A Downers Grove IL 5 (Chicago) 08/27/2020 1C1P11 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
142752 Dialyze Direct Il - Glen Ellyn 800 Roosevelt Rd Ste E320 Glen Ellyn IL 5 (Chicago) 01/04/2018 IQ0511 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
V0132 Ic - Training And Education Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
142752 Dialyze Direct Il - Glen Ellyn 800 Roosevelt Rd Ste E320 Glen Ellyn IL 5 (Chicago) 06/13/2019 9Y1411 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard