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
222545 North Andover Renal Center 201 Sutton Street North Andover MA 1 (Boston) 12/01/2022 5FDO11 Standard
Deficiency Tag Deficiency Description Tag Type
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
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0542 Idt Develops Plan Of Care Standard
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
222545 North Andover Renal Center 201 Sutton Street North Andover MA 1 (Boston) 12/12/2022 5FDO21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0521 Hvac Standard
K0522 Hvac - Any Heating Device Standard
222545 North Andover Renal Center 201 Sutton Street North Andover MA 1 (Boston) 07/20/2023 Q50711 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0450 Cfc - Patients' Rights Condition
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
V0750 Cfc - Governance Condition
V0766 Gb & Med Dir Ensure All Staff Follow Disch/Transfer P&P Standard
V0767 Involuntary Discharge Process Requirements Standard
222546 Peabody Dialysis Center 19a Centennial Drive Peabody MA 1 (Boston) 02/18/2021 3TC811 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0544 Achieve Adequate Clearance Standard
222546 Peabody Dialysis Center 19a Centennial Drive Peabody MA 1 (Boston) 03/07/2024 HSYX11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
222548 Norwood Dialysis Center 101 Access Road Norwood MA 1 (Boston) 04/13/2018 2MBB11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0228 Mixing Systems - Labeling Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0310 Personnel Health Monitoring Records Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
222549 Dci Ball Square - Esrd 643 Broadway Somerville MA 1 (Boston) 01/08/2018 LJWW12 Standard
Deficiency Tag Deficiency Description Tag Type
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0506 Immunization/Medication History Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
222549 Dci Ball Square - Esrd 643 Broadway Somerville MA 1 (Boston) 03/01/2021 IN1911 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
222549 Dci Ball Square - Esrd 643 Broadway Somerville MA 1 (Boston) 03/14/2024 ZKZ311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0510 Msw - Psychosocial Needs Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
222550 North Shore Reg Dialysis Ctr 133 Brimball Avenue, Unit E Beverly MA 1 (Boston) 11/07/2019 T0J111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0146 Ic - Catheters; General Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard