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
682673 First Class Kidney Care Dialysis Center Llc 3170 N Federal Hwy, Ste 107 Lighthouse Point FL 4 (Atlanta) 09/21/2021 6L9S11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0686 Charge Nurse - 12 Mo Nursing + 3 Mo Dialysis Standard
682673 First Class Kidney Care Dialysis Center Llc 3170 N Federal Hwy, Ste 107 Lighthouse Point FL 4 (Atlanta) 07/20/2022 G9NI11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0547 Manage Anemia/H/H Measured Monthly Standard
V0754 Adm Resp For Fiscal Operations Standard
682673 First Class Kidney Care Dialysis Center Llc 3170 N Federal Hwy, Ste 107 Lighthouse Point FL 4 (Atlanta) 09/26/2022 G9NI12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0632 Qapi Indicator - Anemia Management Standard
682673 First Class Kidney Care Dialysis Center Llc 3170 N Federal Hwy, Ste 107 Lighthouse Point FL 4 (Atlanta) 07/19/2023 53FJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0030 Names And Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0507 Assess Anemia Standard
V0518 Assess Hd Adequacy Monthly/Pd Adequacy Q 4 Months Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
682674 Sandy Shores Dialysis 5947 20th St Vero Beach FL 4 (Atlanta) 12/14/2022 CLBO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
V0767 Involuntary Discharge Process Requirements Standard
682674 Sandy Shores Dialysis 5947 20th St Vero Beach FL 4 (Atlanta) 06/25/2025 1H0X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
682678 Philips Highway Dialysis 8021 Phillips Highway Ste 13 Jacksonville FL 4 (Atlanta) 08/23/2019 50L411 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
V0551 Va Monitor To Prevent Failure/Stenosis Standard
682678 Philips Highway Dialysis 8021 Phillips Highway Ste 13 Jacksonville FL 4 (Atlanta) 07/26/2024 U2XO11 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
682680 County Line Dialysis 21353 Nw 2nd Ave Miami Gardens FL 4 (Atlanta) 09/30/2022 6DY711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0550 Vascular Access - Monitor/Referrals Standard
682680 County Line Dialysis 21353 Nw 2nd Ave Miami Gardens FL 4 (Atlanta) 08/24/2023 66VP11 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
V0550 Vascular Access - Monitor/Referrals Standard
V0560 Patients Seen By Med Staff Member Monthly Standard