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
332638 Island Rehabilitative Clove Lakes 25 Fanning Street Staten Island NY 2 (New York) 01/10/2019 87DF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
332638 Island Rehabilitative Clove Lakes 25 Fanning Street Staten Island NY 2 (New York) 12/18/2019 3EZQ11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0550 Vascular Access - Monitor/Referrals Standard
332641 Columbia-Greene Dialysis Centers 159 Jefferson Heights Catskill NY 2 (New York) 07/16/2018 G6FD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0316 Maintenance Per Dfu Or Semiannual/Maintenance Record Standard
V0366 Qa Audits - Hemodialyzer Labeling Quarterly Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
332641 Columbia-Greene Dialysis Centers 159 Jefferson Heights Catskill NY 2 (New York) 01/27/2022 3RBE11 Complaint, Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
332644 Four Seasons Dialysis Center 1170 East 98th Street Brooklyn NY 2 (New York) 05/22/2024 K4II11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
332647 Broadway Dialysis Center At Ehc 79-01 Broadway Dialysis Center D-7 Wing Elmhurst NY 2 (New York) 06/21/2024 CFKB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
332647 Broadway Dialysis Center At Ehc 79-01 Broadway Dialysis Center D-7 Wing Elmhurst NY 2 (New York) 11/07/2024 CFKB21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0321 Hazardous Areas - Enclosure Standard
332648 Morrisania Dialysis Center 1160 Teller Avenue Bronx NY 2 (New York) 02/09/2023 79IN11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
332649 Cleve Hill Dialysis Center 1461 Kensington Avenue Buffalo NY 2 (New York) 04/17/2024 0K4811 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
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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0191 Softeners - Testing Hardness/Log Standard
V0217 Hot Water Disinf Sys - Temp/Time/Follow Dfu/Piping Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
332649 Cleve Hill Dialysis Center 1461 Kensington Avenue Buffalo NY 2 (New York) 01/06/2025 T6PW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0750 Cfc - Governance Condition
V0756 Adm Resp For Resources For Qapi Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard