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
232567 Eastpointe Dialysis Center 21400 Kelly Road Eastpointe MI 5 (Chicago) 02/23/2024 URWX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232568 Ypsilanti Dialysis 2766 Washtenaw Ave Ypsilanti MI 5 (Chicago) 03/29/2018 DK3X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0455 Privacy & Confidentiality In Records Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
232568 Ypsilanti Dialysis 2766 Washtenaw Ave Ypsilanti MI 5 (Chicago) 05/14/2019 2GCG11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0129 Ic - Hbv - Isolation (New Facility) Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
232568 Ypsilanti Dialysis 2766 Washtenaw Ave Ypsilanti MI 5 (Chicago) 10/18/2023 RQGQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232569 Grand Blanc Dialysis Center 3625 Genesys Parkway Grand Blanc MI 5 (Chicago) 10/10/2018 UQ2W11 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
232569 Grand Blanc Dialysis Center 3625 Genesys Parkway Grand Blanc MI 5 (Chicago) 08/14/2020 XQBD11 Special
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 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
232571 Jackson Dialysis 234 Louis-Glick Highway Jackson MI 5 (Chicago) 03/27/2019 WVK411 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
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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
232571 Jackson Dialysis 234 Louis-Glick Highway Jackson MI 5 (Chicago) 04/01/2020 XHM811 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
232572 Ludington Dialysis 7 N Atkinson Drive, Suite 210 Ludington MI 5 (Chicago) 06/26/2019 HFPF11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0184 Environment: Secure And Restricted Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0400 Cfc - Physical Environment Condition
V0417 Pe-Fire Safety-Life Safety Code Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
232572 Ludington Dialysis 7 N Atkinson Drive, Suite 210 Ludington MI 5 (Chicago) 06/26/2019 HFPF21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0222 Egress Doors Standard
K0223 Doors With Self-Closing Devices Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0511 Utilities - Gas And Electric Standard
K0521 Hvac Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
K0918 Electrical Systems - Essential Electric Syste Standard