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
212655 Northwest Dialysis Center 2245 Rolling Run Drive, Suite 1 Windsor Mill MD 3 (Philadelphia) 06/12/2018 KD2S11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0519 Frequency Reassessment - Stable - Annual Standard
212655 Northwest Dialysis Center 2245 Rolling Run Drive, Suite 1 Windsor Mill MD 3 (Philadelphia) 11/25/2020 RRBQ11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
V0463 Receive Services Outlined In Poc Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
212655 Northwest Dialysis Center 2245 Rolling Run Drive, Suite 1 Windsor Mill MD 3 (Philadelphia) 11/20/2023 QO2411 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0453 Receive Information In An Understandable Way Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
212655 Northwest Dialysis Center 2245 Rolling Run Drive, Suite 1 Windsor Mill MD 3 (Philadelphia) 11/20/2023 UFN411 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
212655 Northwest Dialysis Center 2245 Rolling Run Drive, Suite 1 Windsor Mill MD 3 (Philadelphia) 04/05/2024 BOYJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
212656 Advanced Dialysis Center 299 Hurley Avenue Rockville MD 3 (Philadelphia) 01/23/2018 E7F411 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
212656 Advanced Dialysis Center 299 Hurley Avenue Rockville MD 3 (Philadelphia) 06/23/2021 P47V11 Standard
Deficiency Tag Deficiency Description Tag Type
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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
V0729 Mr - Complete Records Promptly Standard
212656 Advanced Dialysis Center 299 Hurley Avenue Rockville MD 3 (Philadelphia) 07/20/2023 374311 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0503 Appropriateness Of Dialysis Rx Standard
212656 Advanced Dialysis Center 299 Hurley Avenue Rockville MD 3 (Philadelphia) 08/31/2023 SBDW11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0503 Appropriateness Of Dialysis Rx Standard
212657 District Heights Dialysis 5701 Silver Hill Rd District Heights MD 3 (Philadelphia) 10/15/2018 VLJQ11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0542 Idt Develops Plan Of Care Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard