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
232699 Fresenius Medical Care-St Johns 975 E Townsend Rd Saint Johns MI 5 (Chicago) 02/03/2021 P8D711 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
232699 Fresenius Medical Care-St Johns 975 E Townsend Rd Saint Johns MI 5 (Chicago) 05/02/2024 9S2K11 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
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0500 Cfc - Patient Assessment Condition
V0513 Transplantation Referral 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
232700 Rrc Lapeer Home Choice 582 S Main St Lapeer MI 5 (Chicago) 01/24/2018 FWH312 Standard
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control Condition
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0320 Personnel Protective Gear Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0580 Cfc: Care At Home Condition
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0588 Support Services Must Be Provided Standard
V0599 Recordkeeping System Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0639 Prioritizing Improvement Activities Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0764 Services Furnished On The Main Premises Standard
232700 Rrc Lapeer Home Choice 582 S Main St Lapeer MI 5 (Chicago) 11/02/2018 7Q1K11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan Standard
E0033 Methods For Sharing Information Standard
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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0542 Idt Develops Plan Of Care Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
232702 Oakwood Renal Services 18100 Oakwood Blvd Suite 206 Dearborn MI 5 (Chicago) 03/22/2018 YZA111 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
232702 Oakwood Renal Services 18100 Oakwood Blvd Suite 206 Dearborn MI 5 (Chicago) 05/13/2020 5RW611 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
232702 Oakwood Renal Services 18100 Oakwood Blvd Suite 206 Dearborn MI 5 (Chicago) 10/24/2023 J9H121 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0311 Vertical Openings - Enclosure Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0371 Subdivision Of Building Spaces - Smoke Compar Standard
K0372 Subdivision Of Building Spaces - Smoke Barrie Standard
K0521 Hvac Standard
K0531 Elevators Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
K0918 Electrical Systems - Essential Electric Syste Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
232702 Oakwood Renal Services 18100 Oakwood Blvd Suite 206 Dearborn MI 5 (Chicago) 10/25/2023 J9H111 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0400 Cfc - Physical Environment Condition
V0417 Pe-Fire Safety-Life Safety Code Standard
232703 Fresenius Medical Care Kentwood 4300 Callander Drive Se Kentwood MI 5 (Chicago) 09/20/2018 P4BS11 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
232704 Riverbend Dialysis 415 S Telegraph Rd Monroe MI 5 (Chicago) 06/08/2018 LFDX11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard