S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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ESRDs 2567s
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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
▼ 452524 Golden Triangle Dialysis 1020 North 14th Street Beaumont TX 6 (Dallas) 01/29/2020 9ZJE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0230 Mixing Systems - Cleaning Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0246 Bicarb Conc Distribution - Color Coded Blue & Sealed Standard
V0247 Conc Outlets - Separate/Labeled/Connection Safety 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
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 452524 Golden Triangle Dialysis 1020 North 14th Street Beaumont TX 6 (Dallas) 05/16/2023 HBLI11 Complaint
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
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0232 Bicarb Mixing Sys - Empty/Disinfect/Prevent Corrosion Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0246 Bicarb Conc Distribution - Color Coded Blue & Sealed Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 452524 Golden Triangle Dialysis 1020 North 14th Street Beaumont TX 6 (Dallas) 01/18/2024 1MJ011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0232 Bicarb Mixing Sys - Empty/Disinfect/Prevent Corrosion Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0246 Bicarb Conc Distribution - Color Coded Blue & Sealed Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 452524 Golden Triangle Dialysis 1020 North 14th Street Beaumont TX 6 (Dallas) 04/15/2024 HKJJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0247 Conc Outlets - Separate/Labeled/Connection Safety Standard
V0451 Patients Informed Of Rights When Begin Treatment Standard
▼ 452524 Golden Triangle Dialysis 1020 North 14th Street Beaumont TX 6 (Dallas) 09/22/2025 W4DP11 Complaint
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
V0111 Ic - Sanitary Environment Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0209 Water Storage Tank - Shape/Vent/Disinfected/Filter Post Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0233 Bicarb Mixing Sys - Storage/Use Time Limits/Min Combine Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0688 Staff Nurse - Meet State Requirements Standard
▼ 452526 Brazos Kidney Disease Center 2329 North 39th Street Waco TX 6 (Dallas) 07/23/2018 OU8S11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 452528 Renal Center Of North Denton Lllp 4309 Mesa Drive Denton TX 6 (Dallas) 07/23/2018 B0U511 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0121 Ic - Handling Infectious Waste Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0455 Privacy & Confidentiality In Records Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0580 Cfc: Care At Home Condition
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 452528 Renal Center Of North Denton Lllp 4309 Mesa Drive Denton TX 6 (Dallas) 08/15/2024 NU6811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
▼ 452530 San Jacinto Dialysis 11430 I-10 East Suite 320 Houston TX 6 (Dallas) 03/03/2021 3UTQ11 Complaint, Special, 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0633 Qapi Indicator - Vascular Access Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 452530 San Jacinto Dialysis 11430 I-10 East Suite 320 Houston TX 6 (Dallas) 03/09/2022 8WI411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0030 Names And Contact Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard