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
422616 Fountain Inn Dialysis 298 Chapman Road Fountain Inn SC 4 (Atlanta) 10/16/2023 HEB811 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
V0726 Medical Records - Complete, Accurate, Accessible Standard
422617 Fresenius Medical Care - Church Street 406 South Church Street Florence SC 4 (Atlanta) 11/01/2018 KK1R11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0506 Immunization/Medication History Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422617 Fresenius Medical Care - Church Street 406 South Church Street Florence SC 4 (Atlanta) 11/11/2021 OEM211 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0510 Msw - Psychosocial Needs Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
422617 Fresenius Medical Care - Church Street 406 South Church Street Florence SC 4 (Atlanta) 05/30/2024 E9U011 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0545 Effective Nutritional Status Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422618 Fresenius Medical Care Johnsonville 200 Stucky Street Johnsonville SC 4 (Atlanta) 01/13/2021 G3J011 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422619 Fresenius Medical Care West Conway 1702 Mill Pond Road Conway SC 4 (Atlanta) 12/15/2022 93Q311 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0544 Achieve Adequate Clearance Standard
422620 Jedburg Dialysis 2897 W 5th North Street Summerville SC 4 (Atlanta) 01/31/2019 SSXD11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
422620 Jedburg Dialysis 2897 W 5th North Street Summerville SC 4 (Atlanta) 10/22/2020 W8AD11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0688 Staff Nurse - Meet State Requirements Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
422620 Jedburg Dialysis 2897 W 5th North Street Summerville SC 4 (Atlanta) 08/09/2023 4UZL11 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
V0220 Bacterial Control - Machine Supply Line Disinfected Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
422621 Fresenius Medical Care - Fort Lawn 5707 Willowbrook Street Fort Lawn SC 4 (Atlanta) 01/21/2021 4SNR11 Special, 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
V0146 Ic - Catheters; General Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard