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
332751 Liberty Dialysis-Hyde Park 386 Violet Avenue Poughkeepsie NY 2 (New York) 05/18/2018 EH5813 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
332755 Dialyze Direct Brooklyn 4714 16th Avenue Brooklyn NY 2 (New York) 09/17/2021 O7EP11 Special, 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
332755 Dialyze Direct Brooklyn 4714 16th Avenue Brooklyn NY 2 (New York) 05/06/2022 M9NO21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0028 Dialysis Emergency Equipment Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
K0000 Initial Comments - Not A Deficiency Citation Memo
K0281 Illumination Of Means Of Egress Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0372 Subdivision Of Building Spaces - Smoke Barrie Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
K0911 Electrical Systems - Other Standard
K0921 Electrical Equipment - Testing And Maintenanc Standard
332755 Dialyze Direct Brooklyn 4714 16th Avenue Brooklyn NY 2 (New York) 05/06/2022 M9NO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0594 Preconfig Hd Sys -Testing Water/Dialysate Follow Dfu/Fda Standard
V0599 Recordkeeping System 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
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0712 Md Resp - Qapi Program Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
V0800 Covid-19 Vaccination Of Facility Staff Standard
332757 Hertel Avenue Dialysis 699 Hertel Ave, Suite 380 Buffalo NY 2 (New York) 10/02/2020 FXMZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
332758 Dsi Newburgh Dialysis 39 North Plank Road, Ste 5 Newburgh NY 2 (New York) 08/01/2019 NKU111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0750 Cfc - Governance Condition
V0765 Internal Grievance Process Components & Implemented Standard
332759 Seaway Dialysis 999 East Ridge Road, Suite 11 Rochester NY 2 (New York) 04/13/2022 BBS511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
332759 Seaway Dialysis 999 East Ridge Road, Suite 11 Rochester NY 2 (New York) 06/04/2024 H8DC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0729 Mr - Complete Records Promptly Standard
332759 Seaway Dialysis 999 East Ridge Road, Suite 11 Rochester NY 2 (New York) 11/20/2024 DOFM11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0121 Ic - Handling Infectious Waste Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0191 Softeners - Testing Hardness/Log Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0202 Di - Continuous Monitoring Resistivity/Logged 2 X Day Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0228 Mixing Systems - Labeling Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
332760 Hamptons Dialysis Center 64 County Road 39 Southampton NY 2 (New York) 01/23/2020 VY2I11 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
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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard