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
392821 Eagle Valley Dialysis 166 Eagles Glen Plaza East Stroudsburg PA 3 (Philadelphia) 08/04/2023 E02311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training Standard
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
V0550 Vascular Access - Monitor/Referrals Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392822 Millcreek Dialysis 2042 Edinboro Road Erie PA 3 (Philadelphia) 07/10/2023 VIRV11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0686 Charge Nurse - 12 Mo Nursing + 3 Mo Dialysis Standard
392823 Girard Estates Dialysis 1930 South Broad Street Suite 7 Philadelphia PA 3 (Philadelphia) 08/15/2018 V4RR21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
392823 Girard Estates Dialysis 1930 South Broad Street Suite 7 Philadelphia PA 3 (Philadelphia) 07/07/2021 4IXW11 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
V0504 Assess B/P & Fluid Management Needs Standard
392823 Girard Estates Dialysis 1930 South Broad Street Suite 7 Philadelphia PA 3 (Philadelphia) 02/02/2022 4IXW21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0211 Means Of Egress - General Standard
K0321 Hazardous Areas - Enclosure Standard
392823 Girard Estates Dialysis 1930 South Broad Street Suite 7 Philadelphia PA 3 (Philadelphia) 07/24/2024 EUY621 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0211 Means Of Egress - General Standard
K0511 Utilities - Gas And Electric Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0918 Electrical Systems - Essential Electric Syste Standard
K0920 Electrical Equipment - Power Cords And Extens Standard
392824 Robinson Home Training 5888 Steubenville Pike Suite 4 Mckees Rocks PA 3 (Philadelphia) 10/06/2020 1M1911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392825 Tyrone Dialysis 175 Hospital Drive Tyrone PA 3 (Philadelphia) 05/08/2018 S1NE12 Standard
Deficiency Tag Deficiency Description Tag Type
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0255 Microbial Monitoring - Repeat Cultures Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0506 Immunization/Medication History Standard
392825 Tyrone Dialysis 175 Hospital Drive Tyrone PA 3 (Philadelphia) 06/28/2018 H7PT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
V0730 Mr - Centralize All Info, Each Member Of Idt Has Access Standard
392825 Tyrone Dialysis 175 Hospital Drive Tyrone PA 3 (Philadelphia) 10/14/2020 3W9W11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard