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
242581 Fresenius Medical Care Robbinsdale 4094 Lakeland Avenue North Robbinsdale MN 5 (Chicago) 04/08/2020 1K1O11 Special
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
242581 Fresenius Medical Care Robbinsdale 4094 Lakeland Avenue North Robbinsdale MN 5 (Chicago) 01/30/2025 YTZZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
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
V0464 Informed - Rules/Expectations Re Patient Conduct Standard
V0510 Msw - Psychosocial Needs Standard
V0540 Cfc: Patient Plan Of Care Condition
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0561 Track Tp Referrals/Communicate With Tp Ctr Annually & If D Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
242584 Moorhead Dialysis 1710 Center Avenue West Dilworth MN 5 (Chicago) 04/22/2020 OI2I11 Special
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
242589 East Valley Dialysis 14050 Pilot Knob Road, Suite 100 Apple Valley MN 5 (Chicago) 11/20/2024 J1ZS11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0725 Cfc - Medical Records Condition
242591 Central Avenue Dialysis 10994 Baltmore Street Northeast Blaine MN 5 (Chicago) 01/12/2018 JB2X22 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0223 Doors With Self-Closing Devices Standard
K0343 Fire Alarm System - Notification Standard
K0353 Sprinkler System - Maintenance And Testing Standard
242591 Central Avenue Dialysis 10994 Baltmore Street Northeast Blaine MN 5 (Chicago) 04/29/2022 C21M11 Complaint, 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
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0639 Prioritizing Improvement Activities Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
242593 Fresenius Medical Care Two Rivers 1355 South Frontage Road #380 Hastings MN 5 (Chicago) 01/18/2018 DTX011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0026 Roles Under A Waiver Declared By Secretary Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0503 Appropriateness Of Dialysis Rx Standard
242594 Historical Hastings Dialysis 1828 Market Blvd Hastings MN 5 (Chicago) 01/10/2018 CR1G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
242594 Historical Hastings Dialysis 1828 Market Blvd Hastings MN 5 (Chicago) 01/18/2018 CR1G21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0712 Fire Drills Standard
242595 Fresenius Medical Care Of Cannon Valley 396 Schilling Drive Dundas MN 5 (Chicago) 02/22/2018 VUDL11 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