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
332405 St Catherine Of Siena Esrd 50 Route 25a Smithtown NY 2 (New York) 10/24/2018 EFBG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
332405 St Catherine Of Siena Esrd 50 Route 25a Smithtown NY 2 (New York) 02/13/2020 4DB111 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
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
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0132 Ic - Training And Education Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
332405 St Catherine Of Siena Esrd 50 Route 25a Smithtown NY 2 (New York) 02/13/2020 4DB121 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0321 Hazardous Areas - Enclosure Standard
332412 Eastern Niagara Hospital Esrd 2600 Williams St Newfane NY 2 (New York) 01/05/2018 NNZZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0121 Ic - Handling Infectious Waste 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
332414 Upstate Pediatric Dialysis Unit 750 East Adams Street Syracuse NY 2 (New York) 06/03/2019 UKYK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0518 Assess Hd Adequacy Monthly/Pd Adequacy Q 4 Months Standard
V0550 Vascular Access - Monitor/Referrals Standard
332415 Strong Memorial Esrd 601 Elmwood Avenue Rochester NY 2 (New York) 02/19/2025 9I4U11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
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
V0121 Ic - Handling Infectious Waste Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
332415 Strong Memorial Esrd 601 Elmwood Avenue Rochester NY 2 (New York) 02/19/2025 9I4U21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0211 Means Of Egress - General Standard
K0342 Fire Alarm System - Initiation Standard
K0355 Portable Fire Extinguishers Standard
332416 Carthage Area Hospital, Inc 124 Ford Avenue Ogdensburg NY 2 (New York) 07/12/2019 OM2D11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0201 Ro - Chemical Analysis - Frequency Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0630 Qapi Indicator - Nutritional Status Standard
V0632 Qapi Indicator - Anemia Management Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
332504 Westchester Artificial Kidney Center Dci 234 Tarrytown Road Elmsford NY 2 (New York) 06/29/2018 JUIH11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
332511 Island Rehabilitative Services 470 Seaview Ave Staten Island NY 2 (New York) 01/11/2018 FFXX11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard