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
152640 Fresenius Medical Care Wells County 1100 S Main St Bluffton IN 5 (Chicago) 08/23/2021 3QXU11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
152641 Fresenius Medical Care Scott County 130 N Westavia Blvd Scottsburg IN 5 (Chicago) 01/26/2018 RVW511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0121 Ic - Handling Infectious Waste Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
152641 Fresenius Medical Care Scott County 130 N Westavia Blvd Scottsburg IN 5 (Chicago) 06/24/2020 L8JD11 Special
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
152641 Fresenius Medical Care Scott County 130 N Westavia Blvd Scottsburg IN 5 (Chicago) 04/21/2021 TSA711 Special, 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
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
152641 Fresenius Medical Care Scott County 130 N Westavia Blvd Scottsburg IN 5 (Chicago) 08/09/2024 OFUW11 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
V0455 Privacy & Confidentiality In Records Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
152642 Hoosier Hills Dialysis 143 S Kingston Dr Bloomington IN 5 (Chicago) 08/21/2019 TK4M11 Complaint, 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
152642 Hoosier Hills Dialysis 143 S Kingston Dr Bloomington IN 5 (Chicago) 02/10/2023 ZXR211 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0129 Ic - Hbv - Isolation (New Facility) Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0465 Informed - Internal Grievance Process Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
V0800 Covid-19 Vaccination Of Facility Staff Standard
152643 Fresenius Medical Care Nephrology Goshen 2257 Karisa Dr Suite I Goshen IN 5 (Chicago) 10/18/2018 9SEB11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0228 Mixing Systems - Labeling Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0503 Appropriateness Of Dialysis Rx Standard
152643 Fresenius Medical Care Nephrology Goshen 2257 Karisa Dr Suite I Goshen IN 5 (Chicago) 05/06/2022 SM5P11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
152643 Fresenius Medical Care Nephrology Goshen 2257 Karisa Dr Suite I Goshen IN 5 (Chicago) 03/28/2023 QHT211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0454 Privacy & Confidentiality In Treatment Standard