S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 452688 Village Ii Dialysis Center 6300 Samuell Blvd Suite 125 Dallas TX 6 (Dallas) 04/17/2023 Q5IQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
▼ 452688 Village Ii Dialysis Center 6300 Samuell Blvd Suite 125 Dallas TX 6 (Dallas) 03/31/2025 IJ9511 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
▼ 452689 Trinity Dialysis Center 1210 Alston Avenue Fort Worth TX 6 (Dallas) 04/04/2019 9KGF11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
▼ 452689 Trinity Dialysis Center 1210 Alston Avenue Fort Worth TX 6 (Dallas) 09/09/2019 4YYK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
▼ 452689 Trinity Dialysis Center 1210 Alston Avenue Fort Worth TX 6 (Dallas) 06/04/2020 KUPO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0467 Informed - Right To File Int/Ext Grievance W/O Risk/Anon Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0765 Internal Grievance Process Components & Implemented Standard
▼ 452693 Swiss Avenue Dialysis Center 2613 Swiss Avenue Dallas TX 6 (Dallas) 04/09/2018 27F811 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 452693 Swiss Avenue Dialysis Center 2613 Swiss Avenue Dallas TX 6 (Dallas) 05/22/2018 27F812 Standard
Deficiency Tag Deficiency Description Tag Type
V0510 Msw - Psychosocial Needs Standard
▼ 452693 Swiss Avenue Dialysis Center 2613 Swiss Avenue Dallas TX 6 (Dallas) 02/27/2024 E0WG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
▼ 452694 Dialysis Care Of Greenville 7215 Interstate Highway 30 Ste N Greenville TX 6 (Dallas) 05/16/2018 XGCY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
▼ 452694 Dialysis Care Of Greenville 7215 Interstate Highway 30 Ste N Greenville TX 6 (Dallas) 05/29/2019 CGJR11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0228 Mixing Systems - Labeling Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard