S&C QCOR ESRD 2567s
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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
▼ 342518 Bma Kinston 604 Airport Road Kinston NC 4 (Atlanta) 12/06/2024 A2YS11 Complaint, 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
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
▼ 342520 Fmc Dialysis Svcs Neuse River 202 West Indutrial Drive Oxford NC 4 (Atlanta) 08/10/2018 CFR711 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
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0512 Eval For Self Care, Modality & Setting Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 342520 Fmc Dialysis Svcs Neuse River 202 West Indutrial Drive Oxford NC 4 (Atlanta) 07/22/2021 596E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
▼ 342520 Fmc Dialysis Svcs Neuse River 202 West Indutrial Drive Oxford NC 4 (Atlanta) 02/14/2025 DPTZ11 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
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 342521 Southeastern Dialysis Center 608 Pecan Lane Whiteville NC 4 (Atlanta) 03/04/2020 TCGR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0680 Cfc - Personnel Qualifications Condition
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
▼ 342521 Southeastern Dialysis Center 608 Pecan Lane Whiteville NC 4 (Atlanta) 03/01/2023 9QSZ11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
▼ 342522 Wake Dialysis Clinic, Inc 3604 Bush Street Raleigh NC 4 (Atlanta) 11/07/2019 EKLB11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 342522 Wake Dialysis Clinic, Inc 3604 Bush Street Raleigh NC 4 (Atlanta) 02/27/2020 M3Y111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 342522 Wake Dialysis Clinic, Inc 3604 Bush Street Raleigh NC 4 (Atlanta) 10/28/2022 QETG11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 342522 Wake Dialysis Clinic, Inc 3604 Bush Street Raleigh NC 4 (Atlanta) 11/21/2024 2EO211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0767 Involuntary Discharge Process Requirements Standard