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
682576 Nxstage Kidney Care North Orlando 174 State Rd 436 D102 Casselberry FL 4 (Atlanta) 09/27/2018 W1FZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0180 Bacteriology Of Conventional Dialysate-Max And Action Levels Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0260 Personnel - Training Program/Periodic Audits Standard
682577 West Boynton Dialysis 10150 Hagen Ranch Rd Ste 101 Boynton Beach FL 4 (Atlanta) 09/26/2018 EIVD11 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
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
682577 West Boynton Dialysis 10150 Hagen Ranch Rd Ste 101 Boynton Beach FL 4 (Atlanta) 12/11/2024 ES0Y11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0505 Assess Lab Profile Standard
V0543 Manage Volume Status Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
682578 Florida Dialysis Center Of Celebration Llc 5051 W Irlo Bronson Memorial Hwy Kissimmee FL 4 (Atlanta) 11/20/2018 Z4MV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
682578 Florida Dialysis Center Of Celebration Llc 5051 W Irlo Bronson Memorial Hwy Kissimmee FL 4 (Atlanta) 04/19/2022 METT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0544 Achieve Adequate Clearance Standard
682579 Nxstage Kidney Care Parkland 7525 N State Rd 7 Parkland FL 4 (Atlanta) 01/09/2019 V13U11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0544 Achieve Adequate Clearance Standard
682581 Fresenius Medical Care Port Charlotte 2020 Tamiami Trl Port Charlotte FL 4 (Atlanta) 05/02/2018 UYIR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
E0038 Esrd Ep Training Program Standard
E0042 Integrated Ep Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
682582 Lynn Haven Dialysis 404 E 24th St Lynn Haven FL 4 (Atlanta) 09/14/2022 NM3X11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
682583 Florida Dialysis Center Of Haines City Llc 2340 N Blvd W Davenport FL 4 (Atlanta) 09/06/2018 U03E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0510 Msw - Psychosocial Needs Standard
V0515 Eval Current Physical Activity Level & Voc/Physical Rehab Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0729 Mr - Complete Records Promptly Standard
682583 Florida Dialysis Center Of Haines City Llc 2340 N Blvd W Davenport FL 4 (Atlanta) 11/13/2018 U03E12 Standard
Deficiency Tag Deficiency Description Tag Type
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard