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
682517 Lake Vista Dialysis 3187 Us Hwy 98 N Lakeland FL 4 (Atlanta) 03/11/2025 Q46911 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
682518 Fresenius Medical Care Clermont East 17319 Pagonia Rd Bldg P Unit 115 Clermont FL 4 (Atlanta) 01/30/2020 G7GE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0029 Development Of Communication Plan Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0562 Patient/Family Education & Training Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
682519 Plantation Dialysis 3820 Us Hwy 301 N Ellenton FL 4 (Atlanta) 12/27/2018 5JDK11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
682520 Carrollwood Dialysis 14358 N Dale Mabry Hwy Tampa FL 4 (Atlanta) 01/29/2019 RUS911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0559 Outcome Not Achieved - Adjust Poc Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
682520 Carrollwood Dialysis 14358 N Dale Mabry Hwy Tampa FL 4 (Atlanta) 06/11/2019 V6KK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0544 Achieve Adequate Clearance Standard
682521 South Florida Dialysis Center Corp 8057 Northwest 155 St Miami Lakes FL 4 (Atlanta) 01/28/2021 BP6311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
682521 South Florida Dialysis Center Corp 8057 Northwest 155 St Miami Lakes FL 4 (Atlanta) 07/09/2024 P04311 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0027 Dialysis Emergency Medical System Assistance Standard
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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0692 Pct - State Requirements & Hs Diploma Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
682522 St Petersburg Kidney Center 800 3rd Ave S, Webb Plaza Saint Petersburg FL 4 (Atlanta) 02/27/2019 X5W811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
682523 Crown Dialysis Center Of Palm Beach Llc 4701 N Federal Hwy Unit A Boca Raton FL 4 (Atlanta) 11/15/2018 K55Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0118 Ic - Single Use Vials Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0507 Assess Anemia Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
682523 Crown Dialysis Center Of Palm Beach Llc 4701 N Federal Hwy Unit A Boca Raton FL 4 (Atlanta) 03/01/2023 Q6VF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0506 Immunization/Medication History Standard
V0509 Rd - Nutritional Status Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard