S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 682664 Dci Jacksonville Mid-Town 757 W Union St Jacksonville FL 4 (Atlanta) 03/12/2019 Z4Q521 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
K0000 Initial Comments - Not A Deficiency Citation Memo
K0223 Doors With Self-Closing Devices Standard
K0711 Evacuation And Relocation Plan Standard
K0912 Electrical Systems - Receptacles Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
▼ 682664 Dci Jacksonville Mid-Town 757 W Union St Jacksonville FL 4 (Atlanta) 03/14/2019 Z4Q511 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0510 Msw - Psychosocial Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0543 Manage Volume Status Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0554 Transplantation Status Plan Or Why Not Standard
▼ 682664 Dci Jacksonville Mid-Town 757 W Union St Jacksonville FL 4 (Atlanta) 12/02/2021 WMHR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0543 Manage Volume Status Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 682664 Dci Jacksonville Mid-Town 757 W Union St Jacksonville FL 4 (Atlanta) 08/23/2023 38MT11 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
▼ 682665 Clarcona Dialysis 8259 Clarcona Ocoee Road Orlando FL 4 (Atlanta) 05/10/2022 2FIP11 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
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 682667 Fresenius Kidney Care Clay County 400 College Drive Middleburg FL 4 (Atlanta) 02/19/2025 75ES11 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
▼ 682668 Kidney Doctors Dialysis Centers 12145 Pembroke Rd Pembroke Pines FL 4 (Atlanta) 09/09/2020 Y7PK12 Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
▼ 682668 Kidney Doctors Dialysis Centers 12145 Pembroke Rd Pembroke Pines FL 4 (Atlanta) 12/22/2023 O1Y811 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
V0506 Immunization/Medication History Standard
▼ 682671 Fresenius Kidney Care Pembroke Pines 8100 Johnson St Pembroke Park FL 4 (Atlanta) 12/10/2025 HRM211 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
V0506 Immunization/Medication History Standard
V0509 Rd - Nutritional Status Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
▼ 682673 First Class Kidney Care Dialysis Center Llc 3170 N Federal Hwy, Ste 107 Lighthouse Point FL 4 (Atlanta) 05/22/2019 NNAJ11 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
E0036 Ep Training And Testing Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0405 Pe - Comfortable Temperature Standard