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
243513 Fresenius Kidney Care Brainerd 2024 South Sixth Street Brainerd MN 5 (Chicago) 03/05/2021 9X0F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0506 Immunization/Medication History Standard
243515 Mayo Clinic Dialysis Lake City 500 W Grant Street Lake City MN 5 (Chicago) 11/02/2018 DHF111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
243518 Sanford Dialysis Bemidji 1300 Anne Street Northwest Bemidji MN 5 (Chicago) 04/19/2018 09C811 Standard
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
V0509 Rd - Nutritional Status Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
243524 Fresenius Kidney Care Big Lake 16830 198th Avenue Northwest Big Lake MN 5 (Chicago) 10/24/2018 U0CJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
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
243524 Fresenius Kidney Care Big Lake 16830 198th Avenue Northwest Big Lake MN 5 (Chicago) 10/25/2018 U0CJ21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0353 Sprinkler System - Maintenance And Testing Standard
243526 Fresenius Kidney Care Rum River 112 South Rum River Drive Suite 220 Princeton MN 5 (Chicago) 08/22/2018 8PVL11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
243529 Mayo Clinic Dialysis Fairmont 835 Johnson Street Fairmont MN 5 (Chicago) 06/10/2020 J8YR11 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
243530 Sanford Dialysis Morris 400 East 1st Street Morris MN 5 (Chicago) 10/30/2018 5ZBH11 Standard
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
V0145 Ic - Report Communicable Diseases Standard
243531 Fresenius Kidney Care Wadena County 403 Prairie Avenue Ne Staples MN 5 (Chicago) 11/07/2018 URLK11 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
243533 Satellite Dialysis Ortonville 814 Roy Street Ortonville MN 5 (Chicago) 04/24/2018 RC3311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard