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
212732 La Plata Dialysis 6700 Crain Hwy La Plata MD 3 (Philadelphia) 11/16/2021 00T411 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0184 Environment: Secure And Restricted Standard
V0228 Mixing Systems - Labeling 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
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
V0711 Medical Director Qualified/Accountable To Governing Body Standard
212732 La Plata Dialysis 6700 Crain Hwy La Plata MD 3 (Philadelphia) 05/16/2025 B3GY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0146 Ic - Catheters; General Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0452 Respect & Dignity Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0507 Assess Anemia Standard
V0510 Msw - Psychosocial Needs Standard
V0515 Eval Current Physical Activity Level & Voc/Physical Rehab Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0639 Prioritizing Improvement Activities Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
212733 Golden Mile Dialysis 1306 W Patrick Street, Suite 5 Frederick MD 3 (Philadelphia) 02/25/2022 YPNG11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212735 Loch Raven Dialysis 5315 York Rd Baltimore MD 3 (Philadelphia) 05/16/2022 0IS411 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0711 Medical Director Qualified/Accountable To Governing Body Standard
212736 Caroline County Dialysis 842 S 5th Ave Denton MD 3 (Philadelphia) 05/24/2022 2NSL11 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0505 Assess Lab Profile Standard
V0542 Idt Develops Plan Of Care Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212737 Livingston Village Dialysis 11700 Livingston Rd Fort Washington MD 3 (Philadelphia) 08/29/2023 7O0I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212737 Livingston Village Dialysis 11700 Livingston Rd Fort Washington MD 3 (Philadelphia) 04/05/2024 N7RP11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0729 Mr - Complete Records Promptly Standard
212739 Greenmount Central Dialysis 423 East North Avenue Baltimore MD 3 (Philadelphia) 06/27/2022 1MZ211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0121 Ic - Handling Infectious Waste Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0711 Medical Director Qualified/Accountable To Governing Body Standard
212739 Greenmount Central Dialysis 423 East North Avenue Baltimore MD 3 (Philadelphia) 12/18/2023 DQN811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0228 Mixing Systems - Labeling Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
212740 Dialyze Direct Md, Llc 502 Mccormick Dr Glen Burnie MD 3 (Philadelphia) 09/06/2023 8WW211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0179 Bacteriology Of Water-Medical Director Responsible Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard