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
422608 Carolina Dialysis Llc 115 Interstate Park Spartanburg SC 4 (Atlanta) 12/14/2022 PZY611 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
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422609 Fort Mill Dialysis 1975 Carolina Place Drive Fort Mill SC 4 (Atlanta) 05/02/2019 1D8611 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422609 Fort Mill Dialysis 1975 Carolina Place Drive Fort Mill SC 4 (Atlanta) 02/03/2022 WAPQ11 Special, 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0506 Immunization/Medication History Standard
422609 Fort Mill Dialysis 1975 Carolina Place Drive Fort Mill SC 4 (Atlanta) 07/18/2024 3WDG11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
422610 Myrtle Beach Dialysis 3919 Mayfair Street Myrtle Beach SC 4 (Atlanta) 09/26/2019 OXFC11 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
422610 Myrtle Beach Dialysis 3919 Mayfair Street Myrtle Beach SC 4 (Atlanta) 08/05/2020 7LIT11 Special
Deficiency Tag Deficiency Description Tag Type
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
422610 Myrtle Beach Dialysis 3919 Mayfair Street Myrtle Beach SC 4 (Atlanta) 09/22/2022 RL6I11 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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0543 Manage Volume Status Standard
422611 Greer South Dialysis 3254 Brushy Creek Road Greer SC 4 (Atlanta) 09/26/2019 CIHF11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422611 Greer South Dialysis 3254 Brushy Creek Road Greer SC 4 (Atlanta) 09/21/2022 ICZ811 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
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
422611 Greer South Dialysis 3254 Brushy Creek Road Greer SC 4 (Atlanta) 01/19/2023 DH8011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0182 Equipment-General/Back Up Plan Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard