S&C QCOR ESRD 2567s
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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
▼ 392509 Northern Philadelphia Dialysis 5933 North Broad Street Philadelphia PA 3 (Philadelphia) 11/06/2020 GGKL11 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
▼ 392509 Northern Philadelphia Dialysis 5933 North Broad Street Philadelphia PA 3 (Philadelphia) 12/02/2022 ITJW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0452 Respect & Dignity Standard
V0504 Assess B/P & Fluid Management Needs Standard
▼ 392509 Northern Philadelphia Dialysis 5933 North Broad Street Philadelphia PA 3 (Philadelphia) 12/07/2023 KFLF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
▼ 392511 Bma Of Bethlehem 2014 City Line Road Suite 102 Bethlehem PA 3 (Philadelphia) 09/22/2021 DUVU11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0543 Manage Volume Status Standard
▼ 392511 Bma Of Bethlehem 2014 City Line Road Suite 102 Bethlehem PA 3 (Philadelphia) 09/23/2024 EM0O11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0730 Mr - Centralize All Info, Each Member Of Idt Has Access Standard
▼ 392511 Bma Of Bethlehem 2014 City Line Road Suite 102 Bethlehem PA 3 (Philadelphia) 11/06/2024 EM0O12 Standard
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control Condition
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
▼ 392512 Bma Of Wilkes-Barre 307 Laird Street Suite 1 Wilkes Barre PA 3 (Philadelphia) 01/31/2018 NOMC11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 392512 Bma Of Wilkes-Barre 307 Laird Street Suite 1 Wilkes Barre PA 3 (Philadelphia) 09/28/2018 PG3N11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0550 Vascular Access - Monitor/Referrals Standard
▼ 392512 Bma Of Wilkes-Barre 307 Laird Street Suite 1 Wilkes Barre PA 3 (Philadelphia) 09/03/2021 QV5011 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
▼ 392512 Bma Of Wilkes-Barre 307 Laird Street Suite 1 Wilkes Barre PA 3 (Philadelphia) 10/12/2023 MK7Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0765 Internal Grievance Process Components & Implemented Standard