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
392720 Liberty Dialysis - Hopewell Llc 400 Corporation Drive Aliquippa PA 3 (Philadelphia) 09/15/2023 5ID111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
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
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
392721 Liberty Dialysis - Baden, Llc 1682 State Street Baden PA 3 (Philadelphia) 01/08/2018 XYCV12 Standard
Deficiency Tag Deficiency Description Tag Type
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0413 Emergency Equipment - On Premises: O2, Aed, Suction" Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
392721 Liberty Dialysis - Baden, Llc 1682 State Street Baden PA 3 (Philadelphia) 01/19/2021 CDT211 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
392723 Dunmore Dialysis 1212 O'Neill Highway Dunmore PA 3 (Philadelphia) 01/19/2018 GRMM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392723 Dunmore Dialysis 1212 O'Neill Highway Dunmore PA 3 (Philadelphia) 05/21/2021 X3FJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
392723 Dunmore Dialysis 1212 O'Neill Highway Dunmore PA 3 (Philadelphia) 06/10/2024 I56H11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0544 Achieve Adequate Clearance Standard
392724 Childs Dialysis 101main Street Childs PA 3 (Philadelphia) 09/14/2018 S8HV11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0228 Mixing Systems - Labeling Standard
392724 Childs Dialysis 101main Street Childs PA 3 (Philadelphia) 08/19/2021 HHUM11 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
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
392725 Tunkhannock Dialysis 5950 Sr 6 Tunkhannock PA 3 (Philadelphia) 08/17/2018 R0QY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0543 Manage Volume Status Standard
392727 Liberty Dialysis - Banksville, Llc 2875 Banksville Road Pittsburgh PA 3 (Philadelphia) 04/06/2018 1HK011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard