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
▼ 682544 Johnson Dialysis Center Of Davie Florida Llc 3105 N University Dr Ste 103 Davie FL 4 (Atlanta) 02/09/2022 YVTZ11 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
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0506 Immunization/Medication History Standard
V0507 Assess Anemia Standard
V0509 Rd - Nutritional Status Standard
▼ 682545 Ara Arlington Dialysis Center Llc 7645 Merrill Rd Ste 204 Jacksonville FL 4 (Atlanta) 12/21/2021 YRYG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0767 Involuntary Discharge Process Requirements Standard
▼ 682547 Kidney Kare Of Jacksonville Inc 4168 Southpoint Pkwy S Ste 103 Jacksonville FL 4 (Atlanta) 06/14/2019 W85D11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 682548 Fresenius Medical Care Gulf Breeze 2583 Gulf Breeze Pkwy Gulf Breeze FL 4 (Atlanta) 07/13/2021 LBHO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0146 Ic - Catheters; General Standard
V0310 Personnel Health Monitoring Records Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 682548 Fresenius Medical Care Gulf Breeze 2583 Gulf Breeze Pkwy Gulf Breeze FL 4 (Atlanta) 10/04/2021 LBHO12 Standard
Deficiency Tag Deficiency Description Tag Type
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 682549 Oviedo Dialysis 7560 Red Bug Lake Rd Ste 1048 Oviedo FL 4 (Atlanta) 04/14/2022 1TDQ11 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
▼ 682549 Oviedo Dialysis 7560 Red Bug Lake Rd Ste 1048 Oviedo FL 4 (Atlanta) 08/19/2025 IQ2S11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 682551 Fresenius Medical Care West Jacksonville 5607 Normandy Blvd Jacksonville FL 4 (Atlanta) 02/15/2023 ZSMW11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0543 Manage Volume Status Standard
▼ 682552 Winter Haven South Dialysis 7220 Cypress Gardens Blvd Winter Haven FL 4 (Atlanta) 07/23/2019 5I1211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0767 Involuntary Discharge Process Requirements Standard
▼ 682553 Nxstage Kidney Care 2777 University W Blvd Ste 39 Jacksonville FL 4 (Atlanta) 06/19/2019 Y3U311 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
V0551 Va Monitor To Prevent Failure/Stenosis Standard