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
362696 Blanchard Valley Dialysis Services, Llc 1717 Medical Blvd, Suite C Findlay OH 5 (Chicago) 08/19/2021 JS0Z11 Special, 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
362701 Mccarty Lane Dialysis 500 Mccarty Lane Jackson OH 5 (Chicago) 03/22/2021 IFQL11 Special, 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
362702 Eastgate Home Training 4435 Aicholtz Drive, Suite 800 B Cincinnati OH 5 (Chicago) 01/04/2018 S1MV12 Standard
Deficiency Tag Deficiency Description Tag Type
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
362704 Parma Heights Dialysis 9050 North Church Drive Parma Heights OH 5 (Chicago) 02/22/2023 G89511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
362705 Columbus West Dialysis 1395 Georgesville Road Columbus OH 5 (Chicago) 01/29/2018 XBDZ12 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
362707 Lebanon Dialysis Center 918b Columbus Avenue Lebanon OH 5 (Chicago) 01/15/2020 7T0711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0030 Names And Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
362708 Delhi Dialysis 5040 Delhi Avenue Cincinnati OH 5 (Chicago) 01/25/2018 5GMH12 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
362709 Pataskala Dialysis Center 642 East Broad Street Pataskala OH 5 (Chicago) 01/04/2018 RFME12 Standard
Deficiency Tag Deficiency Description Tag Type
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
362709 Pataskala Dialysis Center 642 East Broad Street Pataskala OH 5 (Chicago) 05/11/2022 8YX211 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
V0544 Achieve Adequate Clearance Standard
362716 Grove City Dialysis 4155 Kelnor Road Grove City OH 5 (Chicago) 01/29/2018 SI2P12 Standard
Deficiency Tag Deficiency Description Tag Type
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard