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
362505 Center For Dialysis Care Of Mentor 8900 Tyler Boulevard Mentor OH 5 (Chicago) 06/13/2019 G56E11 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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
362509 Southland Dialysis 3401 Glendale Avenue, Suite 110 Toledo OH 5 (Chicago) 02/27/2018 C7K312 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
362509 Southland Dialysis 3401 Glendale Avenue, Suite 110 Toledo OH 5 (Chicago) 11/08/2018 32GE11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0418 Pe-Lsc-Sprinklers Standard
362512 Fresenius Medical Care Dayton Regional Dialysis No 7211 Shull Road Huber Heights OH 5 (Chicago) 06/22/2018 7GR511 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
362514 Fresenius Medical Care Grant Park 393 East Town Street Columbus OH 5 (Chicago) 11/14/2019 QE0Q11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
362514 Fresenius Medical Care Grant Park 393 East Town Street Columbus OH 5 (Chicago) 05/02/2022 HROJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0510 Msw - Psychosocial Needs Standard
362518 Zanesville Dialysis 3120 Newark Road Zanesville OH 5 (Chicago) 11/27/2019 ETQ311 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
362520 Fresenius Medical Care Central Ohio East 4039 East Broad Street Columbus OH 5 (Chicago) 06/14/2018 Z00F11 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
362520 Fresenius Medical Care Central Ohio East 4039 East Broad Street Columbus OH 5 (Chicago) 09/22/2020 X28011 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
362520 Fresenius Medical Care Central Ohio East 4039 East Broad Street Columbus OH 5 (Chicago) 07/01/2021 PY7311 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard