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
352501 Kidney Institute Of Nd Llc 5750 S Washington St Grand Forks ND 8 (Denver) 01/03/2024 B3ZZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0689 Dietitian - Rd Standard
352502 Fargo Dialysis Center 4474 23rd Ave S Ste M Fargo ND 8 (Denver) 03/18/2021 AO8P11 Complaint, Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0031 Emergency Officials Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
352502 Fargo Dialysis Center 4474 23rd Ave S Ste M Fargo ND 8 (Denver) 08/07/2024 Y7E111 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0692 Pct - State Requirements & Hs Diploma Standard
352503 Aurora Dialysis, Llc 1451 44th Ave South Suite 104d Grand Forks ND 8 (Denver) 03/14/2018 8RS711 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0197 Carbon Adsorption - Action If First Test Positive Standard
V0252 Microbial Monitoring - Mo Water Samples/Method Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
352503 Aurora Dialysis, Llc 1451 44th Ave South Suite 104d Grand Forks ND 8 (Denver) 05/25/2022 T01X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0562 Patient/Family Education & Training Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
352503 Aurora Dialysis, Llc 1451 44th Ave South Suite 104d Grand Forks ND 8 (Denver) 03/19/2024 ZNXK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0509 Rd - Nutritional Status Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
352505 Dialysis At The Forks 1200 S Columbia Rd Grand Forks ND 8 (Denver) 08/18/2021 UJH411 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
V0184 Environment: Secure And Restricted Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
352505 Dialysis At The Forks 1200 S Columbia Rd Grand Forks ND 8 (Denver) 02/05/2025 PQKG11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0692 Pct - State Requirements & Hs Diploma Standard
353501 Chi St Alexius Health 2500 Fairway St Dickinson ND 8 (Denver) 12/03/2019 MHWN11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0562 Patient/Family Education & Training Standard
353501 Chi St Alexius Health 2500 Fairway St Dickinson ND 8 (Denver) 08/02/2023 CZVW11 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