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
392739 Riddle Dialysis Center 100 Granite Drive Suite 106 Media PA 3 (Philadelphia) 08/13/2025 EQZQ11 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
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
392740 Dialysis Clinic Inc - Hastings 264 Haida Avenue Suite D Hastings PA 3 (Philadelphia) 09/13/2019 L53J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0544 Achieve Adequate Clearance Standard
392740 Dialysis Clinic Inc - Hastings 264 Haida Avenue Suite D Hastings PA 3 (Philadelphia) 10/06/2022 3OHN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0506 Immunization/Medication History Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
392741 Fresenius Medical Care Chambersburg 22 St Paul Drive Chambersburg PA 3 (Philadelphia) 07/29/2019 TVH611 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
392741 Fresenius Medical Care Chambersburg 22 St Paul Drive Chambersburg PA 3 (Philadelphia) 09/16/2022 ICMR11 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
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene 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
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0595 Meet Rd 52 2004 Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
392741 Fresenius Medical Care Chambersburg 22 St Paul Drive Chambersburg PA 3 (Philadelphia) 09/20/2024 7HYV11 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
392743 Liberty Dialysis - Doylestown Llc 2800 Kelly Road, Suite 110 Warrington PA 3 (Philadelphia) 10/18/2019 R3O011 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
392743 Liberty Dialysis - Doylestown Llc 2800 Kelly Road, Suite 110 Warrington PA 3 (Philadelphia) 09/26/2022 4TPM11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392743 Liberty Dialysis - Doylestown Llc 2800 Kelly Road, Suite 110 Warrington PA 3 (Philadelphia) 01/30/2026 WW4B11 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
392746 Fresenius Medical Care Dubois, Llc Sandy Plaza At 5730 Shaffer Road Dubois PA 3 (Philadelphia) 01/31/2018 MX7813 Standard
Deficiency Tag Deficiency Description Tag Type
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard