S&C QCOR ESRD 2567s
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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
▼ 432504 Rosebud Dialysis 1 Soldier Creek Road Po Box 610 Rosebud SD 8 (Denver) 03/23/2022 9WTR11 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
V0114 Ic - Sinks Available 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
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0400 Cfc - Physical Environment Condition
V0406 Pe - Accommodations For Patient Privacy Standard
V0500 Cfc - Patient Assessment Condition
V0562 Patient/Family Education & Training Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0680 Cfc - Personnel Qualifications Condition
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0725 Cfc - Medical Records Condition
V0750 Cfc - Governance Condition
▼ 432505 Mitchell Dialysis 819 E Spruce Street Suite 100 Mitchell SD 8 (Denver) 05/04/2023 3EY711 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
V0146 Ic - Catheters; General Standard
V0148 Ic - Monitor Cath Related Bsi Rates/Surveillance Standard
V0688 Staff Nurse - Meet State Requirements Standard
▼ 432507 Black Hills Health Care System 500 N 5th St Hot Springs SD 8 (Denver) 12/09/2022 PC3M11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
▼ 432508 Black Hills Dialysis - Pine Ridge 100 Dialysis Drive Po Box 3013 Pine Ridge SD 8 (Denver) 05/03/2023 DKSY11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
▼ 432514 Sharp's Corner Hcr 49 Box 82c Porcupine SD 8 (Denver) 03/24/2023 GZR811 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
V0184 Environment: Secure And Restricted Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
▼ 432515 Moccasin Creek Dialysis 3313 6th Ave Se Aberdeen SD 8 (Denver) 10/09/2019 7QVK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0025 Arrangement With Other Facilities Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
▼ 432516 Fresenius Kidney Care Dakota Dunes 357 W Tower Road Dakota Dunes SD 8 (Denver) 06/27/2023 NX0111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
▼ 432517 Monument Health Dialysis Llc 132 Yankee Street Spearfish SD 8 (Denver) 09/14/2022 LXJ311 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
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
▼ 433505 Prairie Lakes Kidney Dialysis Sisseton 100 Lake Traverse Dr Sisseton SD 8 (Denver) 01/25/2023 F8YH11 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
V0550 Vascular Access - Monitor/Referrals Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
▼ 433506 Monument Health Dialysis 132 Yankee Street Spearfish SD 8 (Denver) 09/14/2022 R4EN11 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
V0626 Covers Scope Of Services/Effective/Idt Involved Standard