S&C QCOR ESRD 2567s
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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
▼ 252570 Pachuta Dialysis Unit 180 East Main Street Pachuta MS 4 (Atlanta) 08/30/2023 SY1X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
▼ 252571 Drg Fayette 12657 Highway 61 Fayette MS 4 (Atlanta) 09/18/2019 233S11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 252571 Drg Fayette 12657 Highway 61 Fayette MS 4 (Atlanta) 03/15/2023 CUMM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0509 Rd - Nutritional Status Standard
▼ 252575 Diversified Renal Group Home Dialysis 12657 Highway 61 South Fayette MS 4 (Atlanta) 10/24/2018 PR9E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0003 Establishment Of The Ep Program Dialysis Condition
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0506 Immunization/Medication History Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
▼ 252575 Diversified Renal Group Home Dialysis 12657 Highway 61 South Fayette MS 4 (Atlanta) 03/24/2022 FODS11 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
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0680 Cfc - Personnel Qualifications Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0761 Staff Have Access To Continuing Education Standard
▼ 252575 Diversified Renal Group Home Dialysis 12657 Highway 61 South Fayette MS 4 (Atlanta) 05/19/2022 FODS12 Standard
Deficiency Tag Deficiency Description Tag Type
E0036 Ep Training And Testing Standard
▼ 252585 Fresenius Medical Care West Hinds County 105 Johnston Pl Clinton MS 4 (Atlanta) 02/09/2022 35P911 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
▼ 252586 Fresenius Medical Care West Point 1612 West Church Hill Rd West Point MS 4 (Atlanta) 07/09/2021 GVB011 Special, 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0544 Achieve Adequate Clearance Standard
▼ 252587 West Hattiesburg Clinic Dialysis 6855 Lincoln Rd Ext Suite 60 Hattiesburg MS 4 (Atlanta) 06/25/2021 UXFD11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
▼ 252587 West Hattiesburg Clinic Dialysis 6855 Lincoln Rd Ext Suite 60 Hattiesburg MS 4 (Atlanta) 12/19/2024 JLMJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0628 Measure, Analyze And Track Quality Indicators Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard