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
852524 Us Renal Care Monroe Dialysis 2161 West Spring Street Suite B Monroe GA 4 (Atlanta) 03/24/2021 INRR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
852525 Tara Boulevard Dialysis 6540 Tara Blvd, Suite 200 Jonesboro GA 4 (Atlanta) 07/12/2019 5WI711 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition
V0772 Responds To Nw Requests/Works Toward Goals Standard
852525 Tara Boulevard Dialysis 6540 Tara Blvd, Suite 200 Jonesboro GA 4 (Atlanta) 09/11/2019 UZDW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0112 Ic - Cdc Mmwr 2001 Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
852525 Tara Boulevard Dialysis 6540 Tara Blvd, Suite 200 Jonesboro GA 4 (Atlanta) 04/23/2021 T5WN11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0632 Qapi Indicator - Anemia Management Standard
852525 Tara Boulevard Dialysis 6540 Tara Blvd, Suite 200 Jonesboro GA 4 (Atlanta) 09/30/2022 U0IF11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0632 Qapi Indicator - Anemia Management Standard
852527 Center Hill Dialysis 2045 Donald Lee Hollowell Pkwy Atlanta GA 4 (Atlanta) 10/30/2019 67Z411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0029 Development Of Communication Plan 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
852528 Dialysis Clinic, Inc- East Columbus 5990 Warm Springs Road Columbus GA 4 (Atlanta) 07/21/2021 4W4C11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
852529 Dci Leesburg 210 Park Street Leesburg GA 4 (Atlanta) 12/17/2021 0VF711 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
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
852530 Macon Eastside Dialysis Center, Llc 640 North Avenue, Suite H Macon GA 4 (Atlanta) 03/30/2022 QYEJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
852530 Macon Eastside Dialysis Center, Llc 640 North Avenue, Suite H Macon GA 4 (Atlanta) 02/15/2023 7BMP11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0628 Measure, Analyze And Track Quality Indicators Standard