S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 852531 Dialysis Center Of Forsyth 120 North Lee Street, Suite F Forsyth GA 4 (Atlanta) 05/10/2023 XWBP11 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
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
▼ 852532 Baldwin Dialysis Center, Llc 1302 North Columbia Street Milledgeville GA 4 (Atlanta) 02/08/2023 IXRC11 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
▼ 852532 Baldwin Dialysis Center, Llc 1302 North Columbia Street Milledgeville GA 4 (Atlanta) 08/02/2024 1NWC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0750 Cfc - Governance Condition
▼ 852533 Fresenius Medical Care Stonecrest 8425 Mall Parkway Lithonia GA 4 (Atlanta) 12/30/2021 8GJL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0556 Poc Completed/Signed By Idt & Patient Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 852534 Rockbridge Dialysis 8032 Rockbridge Road Lithonia GA 4 (Atlanta) 09/29/2020 BO1I11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0765 Internal Grievance Process Components & Implemented Standard
▼ 852534 Rockbridge Dialysis 8032 Rockbridge Road Lithonia GA 4 (Atlanta) 05/03/2024 BE1911 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
V0112 Ic - Cdc Mmwr 2001 Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0750 Cfc - Governance Condition
▼ 852534 Rockbridge Dialysis 8032 Rockbridge Road Lithonia GA 4 (Atlanta) 06/12/2024 BE1912 Standard
Deficiency Tag Deficiency Description Tag Type
V0628 Measure, Analyze And Track Quality Indicators Standard
▼ 852535 Fresenius Kidney Care Lilburn 4455 Stone Mountain Highway Lilburn GA 4 (Atlanta) 12/21/2023 JG8N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0454 Privacy & Confidentiality In Treatment Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0765 Internal Grievance Process Components & Implemented Standard
▼ 852537 Emory Dialysis At North Decatur 2165 North Decatur Road, Ste 100 Decatur GA 4 (Atlanta) 09/07/2018 54VT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
▼ 852537 Emory Dialysis At North Decatur 2165 North Decatur Road, Ste 100 Decatur GA 4 (Atlanta) 04/28/2022 B5YJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard