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
▼ 392778 Somerset County Dialysis 1488 N Center Avenue Somerset PA 3 (Philadelphia) 10/21/2019 I2CN12 Standard
Deficiency Tag Deficiency Description Tag Type
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 392778 Somerset County Dialysis 1488 N Center Avenue Somerset PA 3 (Philadelphia) 09/23/2022 MSBH11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0592 Pt Consultation With Members Of Idt As Needed Standard
▼ 392778 Somerset County Dialysis 1488 N Center Avenue Somerset PA 3 (Philadelphia) 09/18/2025 8S7311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 392779 Thorn Run Dialysis 1136 Thorn Run Road Suite J1 Moon Township PA 3 (Philadelphia) 10/02/2020 PB7911 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
▼ 392779 Thorn Run Dialysis 1136 Thorn Run Road Suite J1 Moon Township PA 3 (Philadelphia) 02/01/2024 GKRZ11 Standard
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
V0544 Achieve Adequate Clearance Standard
▼ 392780 Dialysis Clinic Inc At Chestnut Ridge 25 Colony Blvd, Suite 112 Blairsville PA 3 (Philadelphia) 05/08/2018 JIMB12 Standard
Deficiency Tag Deficiency Description Tag Type
V0260 Personnel - Training Program/Periodic Audits Standard
V0410 Patient Care Staff - Current Cpr Certification Standard
▼ 392780 Dialysis Clinic Inc At Chestnut Ridge 25 Colony Blvd, Suite 112 Blairsville PA 3 (Philadelphia) 08/15/2019 Q04K11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0121 Ic - Handling Infectious Waste Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
▼ 392780 Dialysis Clinic Inc At Chestnut Ridge 25 Colony Blvd, Suite 112 Blairsville PA 3 (Philadelphia) 07/30/2021 DPDU11 Special
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
▼ 392780 Dialysis Clinic Inc At Chestnut Ridge 25 Colony Blvd, Suite 112 Blairsville PA 3 (Philadelphia) 07/29/2022 TF5G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
V0544 Achieve Adequate Clearance Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
▼ 392780 Dialysis Clinic Inc At Chestnut Ridge 25 Colony Blvd, Suite 112 Blairsville PA 3 (Philadelphia) 07/07/2023 HX8N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard