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
▼ 342590 Fmc Dial Svcs West Pettigrew 1507 West Pettigrew Street Durham NC 4 (Atlanta) 06/20/2019 HHRE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
▼ 342590 Fmc Dial Svcs West Pettigrew 1507 West Pettigrew Street Durham NC 4 (Atlanta) 11/09/2021 WMPY11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard
▼ 342590 Fmc Dial Svcs West Pettigrew 1507 West Pettigrew Street Durham NC 4 (Atlanta) 07/14/2022 V8M911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
▼ 342591 Dsi Glenwater Dialysis 9030 Glenwater Drive Charlotte NC 4 (Atlanta) 03/27/2018 6ZUD11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0767 Involuntary Discharge Process Requirements Standard
▼ 342591 Dsi Glenwater Dialysis 9030 Glenwater Drive Charlotte NC 4 (Atlanta) 08/08/2019 NM0611 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
▼ 342591 Dsi Glenwater Dialysis 9030 Glenwater Drive Charlotte NC 4 (Atlanta) 02/18/2021 R0KT11 Complaint, 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 342592 Dialysis Care Of Kannapolis 1607 N Main Street Kannapolis NC 4 (Atlanta) 02/04/2021 V6N211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
▼ 342592 Dialysis Care Of Kannapolis 1607 N Main Street Kannapolis NC 4 (Atlanta) 04/03/2025 3BV511 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
▼ 342593 Fmc Dialysis Svcs North Ramsey 130 Longview Drive Fayetteville NC 4 (Atlanta) 05/24/2018 EXHM11 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
V0771 Electronic Data Submission Required For Program Adm Standard
▼ 342593 Fmc Dialysis Svcs North Ramsey 130 Longview Drive Fayetteville NC 4 (Atlanta) 10/03/2019 3XK311 Complaint
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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard