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
342514 High Point Kidney Center 1900 Westchester Drive High Point NC 4 (Atlanta) 01/09/2025 G54Y11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
342515 Elizabeth City Dialysis 1840 W City Drive Elizabeth City NC 4 (Atlanta) 06/13/2019 KTIK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0220 Bacterial Control - Machine Supply Line Disinfected Standard
V0454 Privacy & Confidentiality In Treatment Standard
342515 Elizabeth City Dialysis 1840 W City Drive Elizabeth City NC 4 (Atlanta) 06/08/2022 5ZVX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0200 Ro - Monitor/Alarm/Prevent Use Of Unsafe Water Standard
V0504 Assess B/P & Fluid Management Needs Standard
342515 Elizabeth City Dialysis 1840 W City Drive Elizabeth City NC 4 (Atlanta) 06/05/2025 IVR711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
342516 Fresenius Medical Care Of Hickory 1899 Tate Blvd Se Suite 1103 Box 103 Hickory NC 4 (Atlanta) 12/07/2023 AH9611 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
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
342517 Rocky Mount Kidney Center 750 English Road Rocky Mount NC 4 (Atlanta) 03/09/2018 GKM611 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
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0184 Environment: Secure And Restricted Standard
V0543 Manage Volume Status Standard
342517 Rocky Mount Kidney Center 750 English Road Rocky Mount NC 4 (Atlanta) 01/28/2021 8PZO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
342517 Rocky Mount Kidney Center 750 English Road Rocky Mount NC 4 (Atlanta) 06/07/2022 O9E911 Complaint
Deficiency Tag Deficiency Description Tag Type
V0715 Md Resp - Ensure All Adhere To P&P Standard
342518 Bma Kinston 604 Airport Road Kinston NC 4 (Atlanta) 08/24/2018 UFW611 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
V0504 Assess B/P & Fluid Management Needs Standard
342518 Bma Kinston 604 Airport Road Kinston NC 4 (Atlanta) 08/12/2021 1OOH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard