S&C QCOR ESRD 2567s
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ESRDs 2567s
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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
▼ 312673 Bridgeton Dialysis 333 Irving Avenue Bridgeton NJ 2 (New York) 04/03/2023 EPLV12 Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
V0187 Environment - Schematic Diagrams/Labels Standard
V0217 Hot Water Disinf Sys - Temp/Time/Follow Dfu/Piping Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 312675 Brooklawn Dialysis 700 Crescent Blvd, Suite 10b Brooklawn NJ 2 (New York) 12/02/2022 G5BF11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 02/02/2018 CVFB12 Standard
Deficiency Tag Deficiency Description Tag Type
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0503 Appropriateness Of Dialysis Rx Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 02/02/2018 CVFB22 Standard
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0027 Dialysis Emergency Medical System Assistance Standard
E0030 Names And Contact Information Standard
E0036 Ep Training And Testing Standard
E0038 Esrd Ep Training Program Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 08/05/2020 3V1X11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 11/18/2020 R2Z111 Standard
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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 06/02/2021 0P3811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 09/02/2022 WVW511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0543 Manage Volume Status Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 11/29/2022 1RMJ11 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
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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0145 Ic - Report Communicable Diseases Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
▼ 312676 Alliance Dialysis Center 155-40th Street Irvington NJ 2 (New York) 02/15/2023 1RMJ12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard