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
682596 Kennedy Boulevard Dialysis 2205 W Kennedy Blvd Tampa FL 4 (Atlanta) 04/24/2019 0Z6021 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0346 Fire Alarm System - Out Of Service Standard
K0351 Sprinkler System - Installation Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
682596 Kennedy Boulevard Dialysis 2205 W Kennedy Blvd Tampa FL 4 (Atlanta) 04/24/2019 EYXJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0765 Internal Grievance Process Components & Implemented Standard
682596 Kennedy Boulevard Dialysis 2205 W Kennedy Blvd Tampa FL 4 (Atlanta) 04/24/2019 0Z6011 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0507 Assess Anemia Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0561 Track Tp Referrals/Communicate With Tp Ctr Annually & If D Standard
682596 Kennedy Boulevard Dialysis 2205 W Kennedy Blvd Tampa FL 4 (Atlanta) 10/04/2024 7OS511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0628 Measure, Analyze And Track Quality Indicators Standard
682597 First Prevention & Dialysis Center Llc 17940 Nw 27th Ave Miami Gardens FL 4 (Atlanta) 12/07/2018 ZI5V11 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
682597 First Prevention & Dialysis Center Llc 17940 Nw 27th Ave Miami Gardens FL 4 (Atlanta) 12/09/2021 35OE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0132 Ic - Training And Education Standard
V0406 Pe - Accommodations For Patient Privacy Standard
682598 Land O Lakes Dialysis 2100 Via Bella Blvd Ste 104 Land O Lakes FL 4 (Atlanta) 09/05/2019 85CB11 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
682599 Fresenius Kidney Care Maitland 7960 Forrest City Rd Ste 105 Orlando FL 4 (Atlanta) 07/09/2019 B49E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0260 Personnel - Training Program/Periodic Audits Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
682599 Fresenius Kidney Care Maitland 7960 Forrest City Rd Ste 105 Orlando FL 4 (Atlanta) 05/18/2023 8ZRZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
682599 Fresenius Kidney Care Maitland 7960 Forrest City Rd Ste 105 Orlando FL 4 (Atlanta) 08/12/2025 MGBY11 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