S&C QCOR ESRD 2567s
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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
▼ 682502 Fresenius Medical Care Lake Clarke Shores Dialysis 3047 Forest Hill Blvd West Palm Beach FL 4 (Atlanta) 02/21/2018 NB1M13 Standard
Deficiency Tag Deficiency Description Tag Type
V0126 Ic - Hbv - Vaccinate Patients & Staff null
V0506 Immunization/Medication History null
▼ 682502 Fresenius Medical Care Lake Clarke Shores Dialysis 3047 Forest Hill Blvd West Palm Beach FL 4 (Atlanta) 04/17/2019 ETOF11 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
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 682502 Fresenius Medical Care Lake Clarke Shores Dialysis 3047 Forest Hill Blvd West Palm Beach FL 4 (Atlanta) 03/20/2025 0ID911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
▼ 682503 Fresenius Medical Care North Sarasota 8037 Cooper Creek Blvd Ste 106 University Park FL 4 (Atlanta) 03/30/2018 E7I811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 682503 Fresenius Medical Care North Sarasota 8037 Cooper Creek Blvd Ste 106 University Park FL 4 (Atlanta) 09/07/2023 PLNM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
▼ 682504 A Unique Kidney Center Llc 3105 N University Dr Davie FL 4 (Atlanta) 01/05/2018 4PNC12 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available null
V0402 Pe - Building - Constructed/Maintained To Ensure Safety null
V0507 Assess Anemia null
V0516 Frequency - Initial: 30 Days/13 Tx null
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months null
V0767 Involuntary Discharge Process Requirements null
▼ 682504 A Unique Kidney Center Llc 3105 N University Dr Davie FL 4 (Atlanta) 12/10/2020 B65Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0358 Monitoring - Patient Clinical Results/Kt/V Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
▼ 682505 Port Saint Joe Dialysis 3871 Highway 98 E Ste 101 Port Saint Joe FL 4 (Atlanta) 01/16/2018 GUHW13 Standard
Deficiency Tag Deficiency Description Tag Type
V0503 Appropriateness Of Dialysis Rx null
V0638 Continuously Monitor/Take Action/Track/Sustain Improve null
▼ 682505 Port Saint Joe Dialysis 3871 Highway 98 E Ste 101 Port Saint Joe FL 4 (Atlanta) 06/12/2019 CD6D11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0542 Idt Develops Plan Of Care Standard
▼ 682506 Fresenius Medical Care Panama City 2100 Harrison Ave Panama City FL 4 (Atlanta) 10/02/2020 XTIW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard