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
392785 Manheim Pike Dialysis 1650 Manheim Pike Lancaster PA 3 (Philadelphia) 04/19/2021 IRD211 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
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
392785 Manheim Pike Dialysis 1650 Manheim Pike Lancaster PA 3 (Philadelphia) 04/05/2024 DBS311 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
392786 Us Renal Care Altoona Dialysis Center 118 East Chestnut Avenue Altoona PA 3 (Philadelphia) 08/31/2018 N75E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0030 Names And Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0544 Achieve Adequate Clearance Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
392786 Us Renal Care Altoona Dialysis Center 118 East Chestnut Avenue Altoona PA 3 (Philadelphia) 08/30/2019 BCFR11 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
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0504 Assess B/P & Fluid Management Needs Standard
392786 Us Renal Care Altoona Dialysis Center 118 East Chestnut Avenue Altoona PA 3 (Philadelphia) 09/09/2022 NEB611 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
V0504 Assess B/P & Fluid Management Needs Standard
V0506 Immunization/Medication History Standard
392787 University City Dialysis Davita Inc 3020 Market Street Philadelphia PA 3 (Philadelphia) 10/16/2020 MIZK11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
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
392787 University City Dialysis Davita Inc 3020 Market Street Philadelphia PA 3 (Philadelphia) 12/14/2023 JEVS11 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
V0504 Assess B/P & Fluid Management Needs Standard
V0550 Vascular Access - Monitor/Referrals Standard
392788 Buttonwood Dialysis Center 449 N Broad St Philadelphia PA 3 (Philadelphia) 08/27/2021 PTL311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
392788 Buttonwood Dialysis Center 449 N Broad St Philadelphia PA 3 (Philadelphia) 09/07/2023 IWM211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0144 Ic - Staff Report Ic Issues Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0765 Internal Grievance Process Components & Implemented Standard
392788 Buttonwood Dialysis Center 449 N Broad St Philadelphia PA 3 (Philadelphia) 08/01/2024 HH9511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard