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
232516 Greenfield Health Systems-Pontiac 44200 Woodward Avenue, Suite 109 Pontiac MI 5 (Chicago) 06/17/2020 GT1P11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0132 Ic - Training And Education Standard
V0562 Patient/Family Education & Training Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
232516 Greenfield Health Systems-Pontiac 44200 Woodward Avenue, Suite 109 Pontiac MI 5 (Chicago) 01/13/2022 C9N711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
232516 Greenfield Health Systems-Pontiac 44200 Woodward Avenue, Suite 109 Pontiac MI 5 (Chicago) 01/10/2024 JD1M11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0542 Idt Develops Plan Of Care Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
232516 Greenfield Health Systems-Pontiac 44200 Woodward Avenue, Suite 109 Pontiac MI 5 (Chicago) 12/19/2024 DGW211 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0455 Privacy & Confidentiality In Records Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0544 Achieve Adequate Clearance Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
232518 Fresenius Medical Care Botsford Park 28425 W. Eight Mile Rd Livonia MI 5 (Chicago) 02/10/2021 3DH111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0580 Cfc: Care At Home Condition
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232518 Fresenius Medical Care Botsford Park 28425 W. Eight Mile Rd Livonia MI 5 (Chicago) 05/09/2024 W28E11 Complaint, 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
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0500 Cfc - Patient Assessment Condition
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232519 Bay Area Regional Dialysis Center 4800 E. Mcleod Saginaw MI 5 (Chicago) 04/24/2019 4PAC11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
232520 Dearborn Dialysis 1185 Monroe Street Dearborn MI 5 (Chicago) 07/26/2018 Q9EI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232520 Dearborn Dialysis 1185 Monroe Street Dearborn MI 5 (Chicago) 09/01/2020 XHJ711 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
232521 Genesee Valley Dialysis Center 2222 South Linden Road Flint MI 5 (Chicago) 04/17/2019 U1HM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard