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
212668 Forest Landing Dialysis 2220 Commerce Avenue Suite 1 Forest Hill MD 3 (Philadelphia) 08/06/2025 FG6811 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
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
V0121 Ic - Handling Infectious Waste Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0639 Prioritizing Improvement Activities Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212669 Fresenius Medical Care Princess Anne 12185 Elm Street Princess Anne MD 3 (Philadelphia) 05/15/2018 Z5NL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0029 Development Of Communication Plan Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212669 Fresenius Medical Care Princess Anne 12185 Elm Street Princess Anne MD 3 (Philadelphia) 11/17/2021 5LZ811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0550 Vascular Access - Monitor/Referrals Standard
212669 Fresenius Medical Care Princess Anne 12185 Elm Street Princess Anne MD 3 (Philadelphia) 02/20/2024 PO4I11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
212670 Fresenius Medical Care Surratts 8949 Woodyard Road Clinton MD 3 (Philadelphia) 11/01/2018 HQOK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
212670 Fresenius Medical Care Surratts 8949 Woodyard Road Clinton MD 3 (Philadelphia) 12/03/2021 UMYX11 Standard
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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0228 Mixing Systems - Labeling Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
212670 Fresenius Medical Care Surratts 8949 Woodyard Road Clinton MD 3 (Philadelphia) 06/24/2022 1YK611 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0711 Medical Director Qualified/Accountable To Governing Body Standard
V0759 Rn Present At All Times Standard
212670 Fresenius Medical Care Surratts 8949 Woodyard Road Clinton MD 3 (Philadelphia) 09/02/2025 VD5B11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0028 Dialysis Emergency Equipment Standard
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0148 Ic - Monitor Cath Related Bsi Rates/Surveillance Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level 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
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
212671 Coldspring Dialysis Clinic Llc 4700 Harford Road Baltimore MD 3 (Philadelphia) 08/30/2018 D5QE11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
212671 Coldspring Dialysis Clinic Llc 4700 Harford Road Baltimore MD 3 (Philadelphia) 10/26/2021 6Y0B11 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
V0358 Monitoring - Patient Clinical Results/Kt/V Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0711 Medical Director Qualified/Accountable To Governing Body Standard