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
312648 Dialysis At Deborah 107 Trenton Road Browns Mills NJ 2 (New York) 09/21/2021 3BJG11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0562 Patient/Family Education & Training Standard
312648 Dialysis At Deborah 107 Trenton Road Browns Mills NJ 2 (New York) 10/30/2024 8F0L11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0454 Privacy & Confidentiality In Treatment Standard
V0509 Rd - Nutritional Status Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312649 Matawan Dialysis 764 Highway 34, Suite A Matawan NJ 2 (New York) 03/11/2022 4JGG11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312649 Matawan Dialysis 764 Highway 34, Suite A Matawan NJ 2 (New York) 05/29/2025 69EY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312650 Fresenius Medical Care Center Union City Home, Ll 3196 Kennedy Boulevard, Box#7a Union City NJ 2 (New York) 04/03/2019 MSM211 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0502 Assess Current Health Status Inc Comorbids Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0680 Cfc - Personnel Qualifications Condition
V0685 Self Care/Home Training Nurse - 12 Mo Rn + 3 Mo Modality Standard
V0753 Adm Resp For Staff Appointments Standard
312650 Fresenius Medical Care Center Union City Home, Ll 3196 Kennedy Boulevard, Box#7a Union City NJ 2 (New York) 12/22/2021 H14I11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0580 Cfc: Care At Home Condition
V0590 Coordination Of Care By Member Of Idt Standard
V0595 Meet Rd 52 2004 Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312650 Fresenius Medical Care Center Union City Home, Ll 3196 Kennedy Boulevard, Box#7a Union City NJ 2 (New York) 05/09/2025 3A5C21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0223 Doors With Self-Closing Devices Standard
K0293 Exit Signage Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0911 Electrical Systems - Other Standard
312650 Fresenius Medical Care Center Union City Home, Ll 3196 Kennedy Boulevard, Box#7a Union City NJ 2 (New York) 05/09/2025 3A5C11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0586 Pt/Caregiver Demonstrated Comprehension Of Training Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
312651 Atlantic County Dialysis 400 W Black Horse Pike, Suite 3 Pleasantville NJ 2 (New York) 12/15/2021 BB3211 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
V0543 Manage Volume Status Standard
V0580 Cfc: Care At Home Condition
V0590 Coordination Of Care By Member Of Idt Standard
V0595 Meet Rd 52 2004 Standard
312651 Atlantic County Dialysis 400 W Black Horse Pike, Suite 3 Pleasantville NJ 2 (New York) 03/27/2025 XWPT11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard