S&C QCOR ESRD 2567s
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ESRDs 2567s
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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
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 09/21/2018 2PUQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 11/06/2018 2PUQ12 Standard
Deficiency Tag Deficiency Description Tag Type
V0771 Electronic Data Submission Required For Program Adm Standard
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 09/22/2020 PM1P21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0311 Vertical Openings - Enclosure Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0355 Portable Fire Extinguishers Standard
K0372 Subdivision Of Building Spaces - Smoke Barrie Standard
K0911 Electrical Systems - Other Standard
K0919 Electrical Equipment - Other Standard
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 08/13/2021 MTBV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0506 Immunization/Medication History Standard
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 09/21/2021 MTBV21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0211 Means Of Egress - General Standard
K0223 Doors With Self-Closing Devices Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0374 Subdivision Of Building Spaces - Smoke Barrie Standard
K0911 Electrical Systems - Other Standard
K0912 Electrical Systems - Receptacles Standard
K0920 Electrical Equipment - Power Cords And Extens Standard
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 10/10/2024 YGMK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0191 Softeners - Testing Hardness/Log Standard
▼ 392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 11/05/2024 YGMK21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0374 Subdivision Of Building Spaces - Smoke Barrie Standard
▼ 392335 Milton S Hershey Medical Cente 200 Campus Drive, Suite 1400 Hershey PA 3 (Philadelphia) 01/18/2019 8P0M11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 392335 Milton S Hershey Medical Cente 200 Campus Drive, Suite 1400 Hershey PA 3 (Philadelphia) 01/27/2022 U0QK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0451 Patients Informed Of Rights When Begin Treatment Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 392338 Albert Einstein Medical Center Esrd 5501 Old York Road Philadelphia PA 3 (Philadelphia) 01/25/2018 H3W511 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard