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
212745 Fresenius Kidney Care Fairmount Heights 6301 Walker Mill Road Capitol Heights MD 3 (Philadelphia) 07/15/2022 MKHR11 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
212745 Fresenius Kidney Care Fairmount Heights 6301 Walker Mill Road Capitol Heights MD 3 (Philadelphia) 11/30/2023 KTUF11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0179 Bacteriology Of Water-Medical Director Responsible Standard
V0228 Mixing Systems - Labeling 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
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
212746 Lorien Dialysis Llc 6334 Cedar Lane Columbia MD 3 (Philadelphia) 01/19/2024 WSJM11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
212748 Renalis Pineview 9106 Pineview Lane Clinton MD 3 (Philadelphia) 10/25/2021 THZT21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
212749 Grace Medical Center Inc 2000 West Baltimore Street Baltimore MD 3 (Philadelphia) 03/30/2022 H0KU11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
213503 Holy Cross Dialysis Center At Woodmore 11721 Woodmore Road Mitchellville MD 3 (Philadelphia) 11/25/2019 B1KN11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment 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
V0461 Informed - Own Medical Status Standard
V0562 Patient/Family Education & Training Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
213503 Holy Cross Dialysis Center At Woodmore 11721 Woodmore Road Mitchellville MD 3 (Philadelphia) 10/13/2023 G86I11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0185 Environment: Access To Ports/Meters Standard
V0468 Informed - D/C & Transfer Policies Inc Involuntary Dc Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
222303 St Elizabeth's Renal Dialysis Center 736 Cambridge Street Brighton MA 1 (Boston) 06/19/2019 QDWF11 Standard
Deficiency Tag Deficiency Description Tag Type
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0510 Msw - Psychosocial Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0543 Manage Volume Status Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0633 Qapi Indicator - Vascular Access Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
222305 Berkshire Medical Center - Esrd 8 Conte Drive Pittsfield MA 1 (Boston) 03/06/2019 73QK11 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
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0595 Meet Rd 52 2004 Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
222306 Massachusetts General Hospital - Esrd 55 Fruit Street Boston MA 1 (Boston) 01/08/2020 357X11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0544 Achieve Adequate Clearance Standard