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
▼ 362560 Shaker Square Dialysis 12800 Shaker Blvd Cleveland OH 5 (Chicago) 03/19/2019 7X7R11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 362560 Shaker Square Dialysis 12800 Shaker Blvd Cleveland OH 5 (Chicago) 07/17/2019 DEER11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0463 Receive Services Outlined In Poc Standard
▼ 362560 Shaker Square Dialysis 12800 Shaker Blvd Cleveland OH 5 (Chicago) 07/30/2020 OHIC11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
▼ 362560 Shaker Square Dialysis 12800 Shaker Blvd Cleveland OH 5 (Chicago) 02/02/2023 X1D511 Complaint
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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 362560 Shaker Square Dialysis 12800 Shaker Blvd Cleveland OH 5 (Chicago) 08/25/2023 N8QJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0595 Meet Rd 52 2004 Standard
▼ 362561 Belmont Dialysis 68639 Bannock Road Saint Clairsville OH 5 (Chicago) 10/04/2018 RWFP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 362563 Marietta Dialysis 1019 Pike Street Marietta OH 5 (Chicago) 12/01/2021 JA7111 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 362564 Center For Dialysis Care Of Jefferson 222 East Beech Street Jefferson OH 5 (Chicago) 05/09/2019 LM4B11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
V0754 Adm Resp For Fiscal Operations Standard
▼ 362567 Center For Dialysis Care, Cleveland West 3330 West 25th Street Cleveland OH 5 (Chicago) 01/27/2022 6KS411 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
▼ 362567 Center For Dialysis Care, Cleveland West 3330 West 25th Street Cleveland OH 5 (Chicago) 04/12/2022 6KS412 Standard
Deficiency Tag Deficiency Description Tag Type
V0400 Cfc - Physical Environment Condition