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
392501 Bma Of Philadelphia 4216 Market Street Philadelphia PA 3 (Philadelphia) 03/29/2018 0PR911 Complaint, 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
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
392502 Waverly Dialysis 407 Baltimore Pike Morton PA 3 (Philadelphia) 06/28/2019 LHVH11 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
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
392502 Waverly Dialysis 407 Baltimore Pike Morton PA 3 (Philadelphia) 01/14/2020 TXPK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
392502 Waverly Dialysis 407 Baltimore Pike Morton PA 3 (Philadelphia) 07/12/2022 F13L11 Standard
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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0465 Informed - Internal Grievance Process Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0752 Appoint Ceo/Administrator Standard
392502 Waverly Dialysis 407 Baltimore Pike Morton PA 3 (Philadelphia) 04/17/2023 2CJO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard
392505 Bma Allentown 3136 Hamilton Boulevard Allentown PA 3 (Philadelphia) 04/14/2023 SZ5D11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392506 Bma Abington 1036 Easton Road Willow Grove PA 3 (Philadelphia) 01/11/2019 J4HX11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
392506 Bma Abington 1036 Easton Road Willow Grove PA 3 (Philadelphia) 01/14/2022 Z6O011 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0550 Vascular Access - Monitor/Referrals Standard
392508 Upland Dialysis Center Pob Ii Suite 120 One Medical Ctr Blvd Chester PA 3 (Philadelphia) 10/08/2020 LKD511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
392508 Upland Dialysis Center Pob Ii Suite 120 One Medical Ctr Blvd Chester PA 3 (Philadelphia) 10/13/2023 U7EG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 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