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
362614 North Ridge Dialysis 6830 North Ridge Road Madison OH 5 (Chicago) 06/25/2019 5QNV11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
362614 North Ridge Dialysis 6830 North Ridge Road Madison OH 5 (Chicago) 10/31/2019 5H6Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0731 Mr - Maintain Home Patient Records Standard
362618 Renal Care Group Boardman 257 Boardman Canfield Road Boardman OH 5 (Chicago) 07/28/2020 ZERM11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0463 Receive Services Outlined In Poc Standard
362618 Renal Care Group Boardman 257 Boardman Canfield Road Boardman OH 5 (Chicago) 01/06/2022 3FWH11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0543 Manage Volume Status Standard
362618 Renal Care Group Boardman 257 Boardman Canfield Road Boardman OH 5 (Chicago) 10/17/2023 RUU511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
362619 Richland County Kidney Center 680 Bally Row Mansfield OH 5 (Chicago) 04/25/2019 4SCG11 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
362622 Seneca Dialysis 10 St Lawrence Drive Tiffin OH 5 (Chicago) 07/24/2019 ZUPJ11 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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
362624 Us Renal Care Wildwood Dialysis 2249 North Reynolds Road Toledo OH 5 (Chicago) 10/30/2019 2ENB11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0543 Manage Volume Status Standard
362625 Fresenius Medical Care Osuim Kidney Centers Campus 1791 Kenny Road Columbus OH 5 (Chicago) 11/19/2020 NB7S11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
362627 Fresenius Medical Care Greater Cols Reg Dialysis 285 East State Street, Suite 170 Columbus OH 5 (Chicago) 04/12/2018 LOXI12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard