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
332388 Mount Sinai South Nassau One Healthy Way Oceanside NY 2 (New York) 11/05/2019 38FK21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0311 Vertical Openings - Enclosure Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
332389 Unity Hospital Of Rochester - St Mary's Esrd 89 Genesee Street Rochester NY 2 (New York) 06/11/2021 23XB11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0633 Qapi Indicator - Vascular Access Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
332389 Unity Hospital Of Rochester - St Mary's Esrd 89 Genesee Street Rochester NY 2 (New York) 12/20/2022 LGVF11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0551 Va Monitor To Prevent Failure/Stenosis Standard
332389 Unity Hospital Of Rochester - St Mary's Esrd 89 Genesee Street Rochester NY 2 (New York) 05/23/2025 01FS11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
332393 Geneva General Hospital Dialysis 196 - 198 North Street Geneva NY 2 (New York) 08/23/2018 7VYN11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0502 Assess Current Health Status Inc Comorbids Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0750 Cfc - Governance Condition
332393 Geneva General Hospital Dialysis 196 - 198 North Street Geneva NY 2 (New York) 07/17/2019 NMDK11 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0121 Ic - Handling Infectious Waste Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
332393 Geneva General Hospital Dialysis 196 - 198 North Street Geneva NY 2 (New York) 03/09/2023 FOY811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0633 Qapi Indicator - Vascular Access Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
332401 Lake Plains Dialysis Center 11020 West Center Street Extension Medina NY 2 (New York) 08/18/2021 5OB411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
332401 Lake Plains Dialysis Center 11020 West Center Street Extension Medina NY 2 (New York) 11/08/2024 K2CT11 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
V0184 Environment: Secure And Restricted Standard
V0186 Environment - Alarms In Treatment Area Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0228 Mixing Systems - Labeling Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0729 Mr - Complete Records Promptly Standard
332404 Adirondack Medical Center - Saranac Lake Dialysis 2233 State Route 86, Po Box 471 Saranac Lake NY 2 (New York) 11/18/2020 6OSN11 Special, 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