S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 392863 Fresenius Kidney Care Southside Dialysis 1005 Harvard Avenue Bethlehem PA 3 (Philadelphia) 11/08/2023 J8DO11 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 392864 Roaring Spring Dialysis 96 June Drive Roaring Spring PA 3 (Philadelphia) 10/19/2020 QC8Z11 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
▼ 392865 Paoli Park Dialysis 4 Industrial Blvd Suite 155 Paoli PA 3 (Philadelphia) 12/19/2019 X88Y11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
▼ 392866 Fresenius Kidney Care Lewistown 325 W Freedom Avenue Suite 110 Burnham PA 3 (Philadelphia) 11/09/2020 S7RD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 392867 Wissahickon Dialysis 235 W Chelten Ave Philadelphia PA 3 (Philadelphia) 10/23/2020 U95911 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
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
V0544 Achieve Adequate Clearance Standard
▼ 392867 Wissahickon Dialysis 235 W Chelten Ave Philadelphia PA 3 (Philadelphia) 09/08/2023 O9MR11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 392868 Dialyze Direct Pa Llc 495 Thomas Jones Way Exton PA 3 (Philadelphia) 01/29/2018 UMS311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0129 Ic - Hbv - Isolation (New Facility) Standard
▼ 392868 Dialyze Direct Pa Llc 495 Thomas Jones Way Exton PA 3 (Philadelphia) 12/10/2020 7ZD711 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
▼ 392868 Dialyze Direct Pa Llc 495 Thomas Jones Way Exton PA 3 (Philadelphia) 09/30/2022 NF8V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 392868 Dialyze Direct Pa Llc 495 Thomas Jones Way Exton PA 3 (Philadelphia) 08/10/2023 QR3H11 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
V0121 Ic - Handling Infectious Waste Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0177 Max Level Of Chemical Contaminants In Water/Chem Analysis Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0274 Water Test Results - Deviations Require Corrective Action Plan Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0405 Pe - Comfortable Temperature Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0562 Patient/Family Education & Training Standard
V0580 Cfc: Care At Home Condition
V0590 Coordination Of Care By Member Of Idt Standard
V0593 Monitor Water/Dialysate Inc On Site Evaluation Standard
V0595 Meet Rd 52 2004 Standard
V0596 Correct Water/Dialysate Problem Or Arrange Back-Up Dialysis Standard
V0598 Plan For Er Back-Up Dialysis Standard
V0599 Recordkeeping System Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0632 Qapi Indicator - Anemia Management Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0640 Immediately Correct Any Ij Issues Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0711 Medical Director Qualified/Accountable To Governing Body Standard
V0712 Md Resp - Qapi Program Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard