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
362783 Park Side Dialysis 241 West Schrock Rd Westerville OH 5 (Chicago) 07/17/2019 EXFE11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
362784 Ohio Renal Care Group- Huron Dialysis Center 13948 Euclid Avenue, Suite 2 East Cleveland OH 5 (Chicago) 08/11/2020 G22411 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
362784 Ohio Renal Care Group- Huron Dialysis Center 13948 Euclid Avenue, Suite 2 East Cleveland OH 5 (Chicago) 04/08/2022 F74V11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0750 Cfc - Governance Condition
V0754 Adm Resp For Fiscal Operations Standard
362788 Lakewood Ohio Dialysis 13900 Detroit Road Lakewood OH 5 (Chicago) 12/07/2018 DD3L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0562 Patient/Family Education & Training Standard
362789 Massillon Community Dialysis 2112 Lincoln Way East Massillon OH 5 (Chicago) 04/06/2021 NZOB11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
362792 Buckeye Dialysis 3050 South Dixie Drive Kettering OH 5 (Chicago) 04/21/2023 2J9M11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0184 Environment: Secure And Restricted Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0506 Immunization/Medication History Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
362793 Kingsville Dialysis 5740 Dibble Road Kingsville OH 5 (Chicago) 08/08/2019 3GFO11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
362794 Lucas County Home Training 2702 Navarre Avenue, Suite 203 Oregon OH 5 (Chicago) 06/05/2019 LJOO11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0400 Cfc - Physical Environment Condition
V0417 Pe-Fire Safety-Life Safety Code Standard
362794 Lucas County Home Training 2702 Navarre Avenue, Suite 203 Oregon OH 5 (Chicago) 06/05/2019 LJOO21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0291 Emergency Lighting Standard
K0321 Hazardous Areas - Enclosure Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
362798 Us Renal Care Barberton Dialysis 33 3rd Street Se, Suite 100 Barberton OH 5 (Chicago) 10/17/2019 AA1F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard