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
312586 Renal Care Group Maplewood 2130 Milburn Avenue Maplewood NJ 2 (New York) 03/08/2024 J22V11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0228 Mixing Systems - Labeling Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
312587 Hillside Dialysis 1529 North Broad Street Hillside NJ 2 (New York) 11/01/2019 RM8411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
312587 Hillside Dialysis 1529 North Broad Street Hillside NJ 2 (New York) 09/07/2022 E6EC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0502 Assess Current Health Status Inc Comorbids Standard
312587 Hillside Dialysis 1529 North Broad Street Hillside NJ 2 (New York) 06/08/2023 UY6E11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0275 Adverse Events - Actions Expected Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312587 Hillside Dialysis 1529 North Broad Street Hillside NJ 2 (New York) 04/12/2024 7DOI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
312588 Rcg Egg Harbor Township 6701 Black Horse Pike Egg Harbor Township NJ 2 (New York) 08/05/2020 9JK111 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
312588 Rcg Egg Harbor Township 6701 Black Horse Pike Egg Harbor Township NJ 2 (New York) 09/23/2022 Z84911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0228 Mixing Systems - Labeling Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312589 Fresenius Kidney Care Hackettstown 657 Willow Grove St West Wing Med Plaza, Suite 202 Hackettstown NJ 2 (New York) 03/23/2018 XCYY11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0543 Manage Volume Status Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
312589 Fresenius Kidney Care Hackettstown 657 Willow Grove St West Wing Med Plaza, Suite 202 Hackettstown NJ 2 (New York) 05/03/2023 D88311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
312590 Marlton Dialysis 769 E Route 70 - Bldg C, Suite 100 Marlton NJ 2 (New York) 03/15/2018 DTZP11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard