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
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 09/19/2023 J4ZG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 02/22/2024 CWVF11 Complaint
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
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0450 Cfc - Patients' Rights Condition
V0452 Respect & Dignity Standard
V0454 Privacy & Confidentiality In Treatment Standard
V0455 Privacy & Confidentiality In Records Standard
V0463 Receive Services Outlined In Poc Standard
V0465 Informed - Internal Grievance Process Standard
V0467 Informed - Right To File Int/Ext Grievance W/O Risk/Anon Standard
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0767 Involuntary Discharge Process Requirements Standard
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 04/17/2024 CWVF12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 05/16/2024 Z6VK11 Complaint
Deficiency Tag Deficiency Description Tag Type
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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 08/21/2024 71GV11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0146 Ic - Catheters; General Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 12/03/2024 70G511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0750 Cfc - Governance Condition
V0765 Internal Grievance Process Components & Implemented Standard
V0767 Involuntary Discharge Process Requirements Standard
152501 Fresenius Medical Care Gary 3290 Grant St Gary IN 5 (Chicago) 12/03/2025 AYFT11 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
V0146 Ic - Catheters; General Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0505 Assess Lab Profile Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0633 Qapi Indicator - Vascular Access Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0696 Water Treatment System Techs Training Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
152502 Fresenius Medical Care Indianapolis East 6701 E 21st Street Indianapolis IN 5 (Chicago) 11/30/2018 21B911 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
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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
152502 Fresenius Medical Care Indianapolis East 6701 E 21st Street Indianapolis IN 5 (Chicago) 03/23/2022 LDHG11 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
152502 Fresenius Medical Care Indianapolis East 6701 E 21st Street Indianapolis IN 5 (Chicago) 10/31/2023 YY4C11 Complaint
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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard