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
212657 District Heights Dialysis 5701 Silver Hill Rd District Heights MD 3 (Philadelphia) 09/16/2021 3EFM11 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0225 Mixing Systems - Safe Environment/Ppe Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0463 Receive Services Outlined In Poc Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0505 Assess Lab Profile Standard
V0542 Idt Develops Plan Of Care Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212659 Kidney Home Center 2270 Rolling Run Drive, Suite 600 Windsor Mill MD 3 (Philadelphia) 02/25/2019 NTDU11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
212659 Kidney Home Center 2270 Rolling Run Drive, Suite 600 Windsor Mill MD 3 (Philadelphia) 08/17/2022 HOJE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
212660 Fresenius Medical Care-Silver Spring 12120 Plum Orchard Drive Suite 140 Silver Spring MD 3 (Philadelphia) 12/10/2021 0OG711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0228 Mixing Systems - Labeling Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0504 Assess B/P & Fluid Management Needs Standard
212662 Us Renal Care Old Alexandria Dialysis 7201 Old Alexandria Ferry Road, Ste 6 Clinton MD 3 (Philadelphia) 06/28/2018 EPMP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0450 Cfc - Patients' Rights Condition
V0452 Respect & Dignity Standard
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0506 Immunization/Medication History Standard
V0540 Cfc: Patient Plan Of Care Condition
V0542 Idt Develops Plan Of Care Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0639 Prioritizing Improvement Activities Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard
212662 Us Renal Care Old Alexandria Dialysis 7201 Old Alexandria Ferry Road, Ste 6 Clinton MD 3 (Philadelphia) 08/16/2018 EPMP12 Standard
Deficiency Tag Deficiency Description Tag Type
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0759 Rn Present At All Times Standard
212662 Us Renal Care Old Alexandria Dialysis 7201 Old Alexandria Ferry Road, Ste 6 Clinton MD 3 (Philadelphia) 01/16/2019 G03S11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0405 Pe - Comfortable Temperature Standard
212662 Us Renal Care Old Alexandria Dialysis 7201 Old Alexandria Ferry Road, Ste 6 Clinton MD 3 (Philadelphia) 05/10/2019 EX8H11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
212662 Us Renal Care Old Alexandria Dialysis 7201 Old Alexandria Ferry Road, Ste 6 Clinton MD 3 (Philadelphia) 12/15/2020 KBU311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
212662 Us Renal Care Old Alexandria Dialysis 7201 Old Alexandria Ferry Road, Ste 6 Clinton MD 3 (Philadelphia) 01/15/2021 K6TT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard