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
242305 Winona Health Services 855 Mankato Ave Winona MN 5 (Chicago) 06/06/2018 I9BJ21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0914 Electrical Systems - Maintenance And Testing Standard
242305 Winona Health Services 855 Mankato Ave Winona MN 5 (Chicago) 06/07/2018 I9BJ11 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
V0628 Measure, Analyze And Track Quality Indicators Standard
242305 Winona Health Services 855 Mankato Ave Winona MN 5 (Chicago) 04/30/2025 U45811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
242306 University Of Mn Fairview Renal Dialysis Center 2450 Riverside Avenue, Suite C 2300 Minneapolis MN 5 (Chicago) 09/11/2019 H4PG11 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
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
242309 Mayo Clinic Dialysis Methodist 201 Center Street West Rochester MN 5 (Chicago) 07/07/2020 RB5Z11 Special
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
242309 Mayo Clinic Dialysis Methodist 201 Center Street West Rochester MN 5 (Chicago) 03/05/2021 8VB611 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0503 Appropriateness Of Dialysis Rx Standard
242318 Sanford Dialysis Detroit Lakes 1234 Washington Avenue Suite B Detroit Lakes MN 5 (Chicago) 05/10/2018 Z9KE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0253 Microbial Monitoring - Mo Dialysate Sample/Collection/Freq Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0468 Informed - D/C & Transfer Policies Inc Involuntary Dc Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0562 Patient/Family Education & Training Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
242323 Avera Dialysis - Marshall 300 South Bruce Street Ste D Marshall MN 5 (Chicago) 07/16/2018 C44O11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0026 Roles Under A Waiver Declared By Secretary Standard
E0034 Information On Occupancy/Needs Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
242323 Avera Dialysis - Marshall 300 South Bruce Street Ste D Marshall MN 5 (Chicago) 01/30/2020 ZCL511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0260 Personnel - Training Program/Periodic Audits Standard
V0640 Immediately Correct Any Ij Issues Standard
242323 Avera Dialysis - Marshall 300 South Bruce Street Ste D Marshall MN 5 (Chicago) 02/21/2020 V63R11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard