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
852516 Fresenius Kidney Care Columbus Home 711 Talbotten Road Columbus GA 4 (Atlanta) 08/22/2019 23VB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0562 Patient/Family Education & Training Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
852517 Us Renal Care Paulding County Home Dialysis 500 Nathan Dean Blvd, Ste 102 Dallas GA 4 (Atlanta) 11/14/2018 YE0C11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0201 Ro - Chemical Analysis - Frequency Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
852517 Us Renal Care Paulding County Home Dialysis 500 Nathan Dean Blvd, Ste 102 Dallas GA 4 (Atlanta) 02/03/2022 I3OF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0543 Manage Volume Status Standard
852518 Senoia Dialysis 105 Village Circle Senoia GA 4 (Atlanta) 10/17/2019 T32H11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0767 Involuntary Discharge Process Requirements Standard
852519 Albany Dialysis 244 Cordele Road, Suite 165 Albany GA 4 (Atlanta) 11/21/2019 VK5E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0500 Cfc - Patient Assessment Condition
V0507 Assess Anemia Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0540 Cfc: Patient Plan Of Care Condition
V0547 Manage Anemia/H/H Measured Monthly Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0580 Cfc: Care At Home Condition
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0586 Pt/Caregiver Demonstrated Comprehension Of Training Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
852520 Town Park Dialysis 401 Town Park Blvd Evans GA 4 (Atlanta) 11/20/2019 J1OO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
852520 Town Park Dialysis 401 Town Park Blvd Evans GA 4 (Atlanta) 03/27/2024 NXU911 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
V0680 Cfc - Personnel Qualifications Condition
V0693 Pct - Complete Training Program Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0713 Md Resp - Staff Ed, Training & Performance Standard
852521 Us Renal Care Snellville Dialysis 3370 Sugarloaf Parkway, Suite A1 Lawrenceville GA 4 (Atlanta) 10/17/2018 9GZC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
852522 Fresenius Kidney Care Dacula 3441 Fence Road Dacula GA 4 (Atlanta) 03/11/2021 655L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
852523 Pure Life Renal Of Perimeter 6160 Peachtree Dunwoody Rd Ste A110 Atlanta GA 4 (Atlanta) 05/13/2021 TIGI11 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
V0715 Md Resp - Ensure All Adhere To P&P Standard