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
▼ 342598 Dare County Dialysis Center 115 Exeter Street Manteo NC 4 (Atlanta) 02/04/2021 AKM611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 342598 Dare County Dialysis Center 115 Exeter Street Manteo NC 4 (Atlanta) 04/03/2025 6T5O11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0550 Vascular Access - Monitor/Referrals Standard
▼ 342599 Triad Dialysis Center 4370 Regency Drive High Point NC 4 (Atlanta) 07/03/2019 BJJ111 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 342599 Triad Dialysis Center 4370 Regency Drive High Point NC 4 (Atlanta) 07/22/2022 N8DW11 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
V0512 Eval For Self Care, Modality & Setting Standard
V0544 Achieve Adequate Clearance Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0771 Electronic Data Submission Required For Program Adm Standard
V0800 Covid-19 Vaccination Of Facility Staff Standard
▼ 342600 Bma Of Southwest Greensboro 5020 Mackay Road Jamestown NC 4 (Atlanta) 04/27/2018 EGXK11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
▼ 342600 Bma Of Southwest Greensboro 5020 Mackay Road Jamestown NC 4 (Atlanta) 12/31/2020 BMJ311 Complaint, 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
▼ 342600 Bma Of Southwest Greensboro 5020 Mackay Road Jamestown NC 4 (Atlanta) 02/23/2022 YYDY11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0454 Privacy & Confidentiality In Treatment Standard
▼ 342600 Bma Of Southwest Greensboro 5020 Mackay Road Jamestown NC 4 (Atlanta) 03/01/2024 Q4NM11 Complaint, 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
▼ 342601 Fmc Dialysis Services South Ramsey 526 Ramsey Street Fayetteville NC 4 (Atlanta) 04/19/2018 IDEI11 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
V0180 Bacteriology Of Conventional Dialysate-Max And Action Levels Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
▼ 342601 Fmc Dialysis Services South Ramsey 526 Ramsey Street Fayetteville NC 4 (Atlanta) 10/02/2019 RPJD11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard