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
▼ 392746 Fresenius Medical Care Dubois, Llc Sandy Plaza At 5730 Shaffer Road Dubois PA 3 (Philadelphia) 08/17/2023 X1LP11 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
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 392747 Fresenius Medical Care Dubois Llc 1031 North Front Street Philipsburg PA 3 (Philadelphia) 10/05/2023 BKB711 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
V0121 Ic - Handling Infectious Waste Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
▼ 392748 East End - Pittsburgh Dialysis 7714 Penn Avenue, Park Plaza Pittsburgh PA 3 (Philadelphia) 05/16/2018 J7K311 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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0544 Achieve Adequate Clearance Standard
▼ 392748 East End - Pittsburgh Dialysis 7714 Penn Avenue, Park Plaza Pittsburgh PA 3 (Philadelphia) 09/06/2019 P2B811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 392749 Callowhill Dialysis Center 400 N 3rd Street Philadelphia PA 3 (Philadelphia) 01/11/2021 PQCZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
▼ 392749 Callowhill Dialysis Center 400 N 3rd Street Philadelphia PA 3 (Philadelphia) 09/14/2023 RC6811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0765 Internal Grievance Process Components & Implemented Standard
▼ 392749 Callowhill Dialysis Center 400 N 3rd Street Philadelphia PA 3 (Philadelphia) 11/29/2023 KNJS11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 392749 Callowhill Dialysis Center 400 N 3rd Street Philadelphia PA 3 (Philadelphia) 03/27/2024 9ZKI11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 392749 Callowhill Dialysis Center 400 N 3rd Street Philadelphia PA 3 (Philadelphia) 09/16/2025 2WZM11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 392750 Fresenius Kidney Care West Shore Camp Hill Shopping Center 158 South 32nd S Camp Hill PA 3 (Philadelphia) 09/03/2021 NUWM11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard