S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 302501 Seacoast Dialysis Center 155 Borthwick Ave Suite 100 Portsmouth NH 1 (Boston) 08/29/2024 9C1T11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0752 Appoint Ceo/Administrator Standard
▼ 302502 Manchester Kidney Center 1750 Elm Street Suite 100 Manchester NH 1 (Boston) 08/02/2018 YQK611 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
▼ 302502 Manchester Kidney Center 1750 Elm Street Suite 100 Manchester NH 1 (Boston) 08/14/2019 0EHP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0177 Max Level Of Chemical Contaminants In Water/Chem Analysis Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 302502 Manchester Kidney Center 1750 Elm Street Suite 100 Manchester NH 1 (Boston) 07/13/2023 UV5111 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 302503 Central New Hampshire Kidney Center 87 Spring Street Laconia NH 1 (Boston) 05/24/2018 NUBR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0025 Arrangement With Other Facilities Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0114 Ic - Sinks Available Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0180 Bacteriology Of Conventional Dialysate-Max And Action Levels Standard
V0184 Environment: Secure And Restricted Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0348 Verification Of Patient Identification - 2 People Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
▼ 302503 Central New Hampshire Kidney Center 87 Spring Street Laconia NH 1 (Boston) 09/23/2022 GCKX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0039 Ep Testing Requirements Standard
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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0180 Bacteriology Of Conventional Dialysate-Max And Action Levels Standard
V0195 Carbon Adsorption - 10 Minutes Ebct Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0253 Microbial Monitoring - Mo Dialysate Sample/Collection/Freq Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0800 Covid-19 Vaccination Of Facility Staff Standard
▼ 302504 Monadnock Dialysis Center 14 Ash Brook Rd Keene NH 1 (Boston) 01/30/2025 I14011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0275 Adverse Events - Actions Expected Standard
▼ 302505 Fmc Strafford County Dialysis 27 Sterling Drive Rochester NH 1 (Boston) 08/10/2018 YZRX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
▼ 302506 Fmc Dialysis Services Exeter 1 Hampton Road Exeter NH 1 (Boston) 11/20/2018 9GKC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0551 Va Monitor To Prevent Failure/Stenosis Standard
▼ 302506 Fmc Dialysis Services Exeter 1 Hampton Road Exeter NH 1 (Boston) 04/20/2023 0F9711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard