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
232350 Mymichigan Dialysis Services 509 Osborn Blvd, Ste 200 Sault Sainte Marie MI 5 (Chicago) 05/26/2021 2T8H11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232501 Bma Livonia 32423 Schoolcraft Rd Livonia MI 5 (Chicago) 03/23/2018 6GUD11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0765 Internal Grievance Process Components & Implemented Standard
232501 Bma Livonia 32423 Schoolcraft Rd Livonia MI 5 (Chicago) 03/09/2021 SZEL11 Special, 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
V0465 Informed - Internal Grievance Process Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232502 Washtenaw Regional Dialysis Center 5205 Mcauley Drive Ypsilanti MI 5 (Chicago) 06/07/2018 RNDG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0454 Privacy & Confidentiality In Treatment Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232502 Washtenaw Regional Dialysis Center 5205 Mcauley Drive Ypsilanti MI 5 (Chicago) 02/24/2021 CV6Y11 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
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
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232503 Fmc Dialysis Services-East Detroit 22151 Moross Road Detroit MI 5 (Chicago) 03/22/2018 V0JU11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
232503 Fmc Dialysis Services-East Detroit 22151 Moross Road Detroit MI 5 (Chicago) 10/09/2019 Q9E411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0502 Assess Current Health Status Inc Comorbids Standard
232505 Greenfield Health Systems-Main 2799 W Grand Boulevard Detroit MI 5 (Chicago) 01/04/2018 3LPC12 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0562 Patient/Family Education & Training Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0632 Qapi Indicator - Anemia Management Standard
V0633 Qapi Indicator - Vascular Access Standard
V0639 Prioritizing Improvement Activities Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232505 Greenfield Health Systems-Main 2799 W Grand Boulevard Detroit MI 5 (Chicago) 09/24/2019 EEEG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232505 Greenfield Health Systems-Main 2799 W Grand Boulevard Detroit MI 5 (Chicago) 06/19/2020 2B7P11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard