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
392874 Compass Home Dialysis 7107 Old York Road Philadelphia PA 3 (Philadelphia) 02/03/2020 7PU812 Complaint
Deficiency Tag Deficiency Description Tag Type
V0118 Ic - Single Use Vials Standard
392874 Compass Home Dialysis 7107 Old York Road Philadelphia PA 3 (Philadelphia) 03/16/2020 7PU813 Complaint
Deficiency Tag Deficiency Description Tag Type
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
392874 Compass Home Dialysis 7107 Old York Road Philadelphia PA 3 (Philadelphia) 05/29/2020 E38411 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392874 Compass Home Dialysis 7107 Old York Road Philadelphia PA 3 (Philadelphia) 07/06/2020 E38412 Complaint
Deficiency Tag Deficiency Description Tag Type
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
392874 Compass Home Dialysis 7107 Old York Road Philadelphia PA 3 (Philadelphia) 08/03/2020 E38413 Complaint
Deficiency Tag Deficiency Description Tag Type
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0504 Assess B/P & Fluid Management Needs Standard
392875 Napoleon Place Dialysis 420 Napoleon Place Johnstown PA 3 (Philadelphia) 05/14/2021 3SO711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
392875 Napoleon Place Dialysis 420 Napoleon Place Johnstown PA 3 (Philadelphia) 05/09/2024 LOH911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
392876 Northeast Philadelphia Dialysis Center Llc 9815 Roosevelt Blvd Suite 1-A Philadelphia PA 3 (Philadelphia) 06/16/2021 8B3Q11 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
392878 Fresenius Kidney Care Newtown 105 Terry Drive Suite 118 Newtown PA 3 (Philadelphia) 09/21/2018 4SWQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
392878 Fresenius Kidney Care Newtown 105 Terry Drive Suite 118 Newtown PA 3 (Philadelphia) 08/19/2021 EUOZ11 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
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard