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
852550 Dublin Kidney Institute 207 Industrial Blvd Ste 2 Dublin GA 4 (Atlanta) 10/29/2019 D6HR11 Complaint
Deficiency Tag Deficiency Description Tag Type
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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0582 Idt Oversees Home Training Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition
852550 Dublin Kidney Institute 207 Industrial Blvd Ste 2 Dublin GA 4 (Atlanta) 03/25/2021 ETC711 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
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0750 Cfc - Governance Condition
852550 Dublin Kidney Institute 207 Industrial Blvd Ste 2 Dublin GA 4 (Atlanta) 06/09/2022 2T1211 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
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0540 Cfc: Patient Plan Of Care Condition
V0542 Idt Develops Plan Of Care Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0714 Md Resp - Develop, Review& Approve P&P Standard
V0750 Cfc - Governance Condition
852551 Duluth Dialysis 3170 Peachtree Ind Blvd, Ste 100 Duluth GA 4 (Atlanta) 01/15/2025 I28W11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0630 Qapi Indicator - Nutritional Status Standard
V0750 Cfc - Governance Condition
852552 Fresenius Kidney Care Mcdonough 50 Kelly Road, Ste 100 Mcdonough GA 4 (Atlanta) 09/14/2023 NDCP11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0750 Cfc - Governance Condition
852552 Fresenius Kidney Care Mcdonough 50 Kelly Road, Ste 100 Mcdonough GA 4 (Atlanta) 08/16/2024 UDNT11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
852553 Flint River Dialysis 700 Gordon Avenue Bainbridge GA 4 (Atlanta) 06/13/2019 WULO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0750 Cfc - Governance Condition
852553 Flint River Dialysis 700 Gordon Avenue Bainbridge GA 4 (Atlanta) 10/31/2024 9QI611 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
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
852554 Panola Dialysis 5360 Snapfinger Woods Dr, Ste 102 Stonecrest GA 4 (Atlanta) 07/26/2021 GNN311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0554 Transplantation Status Plan Or Why Not Standard
852554 Panola Dialysis 5360 Snapfinger Woods Dr, Ste 102 Stonecrest GA 4 (Atlanta) 11/22/2022 JX7Z11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0592 Pt Consultation With Members Of Idt As Needed Standard