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
452710 Northeast Texas Dialysis 413 Loop 59 Ste B Atlanta TX 6 (Dallas) 07/16/2020 NBPB11 Complaint
Deficiency Tag Deficiency Description Tag Type
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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0503 Appropriateness Of Dialysis Rx Standard
452714 Mission Kidney Center 1203 St Claire Blvd Suite 10b Mission TX 6 (Dallas) 06/19/2024 W32F11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
452715 Coastal Dialysis 4300 South Padre Island Drive, Suite 2-2 Corpus Christi TX 6 (Dallas) 02/07/2018 QKYT12 Standard
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0184 Environment: Secure And Restricted Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0507 Assess Anemia Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0680 Cfc - Personnel Qualifications Condition
V0696 Water Treatment System Techs Training Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0711 Medical Director Qualified/Accountable To Governing Body Standard
V0712 Md Resp - Qapi Program Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
452718 Fmc Crown Of Texas 1805 Point West Parkway Suite 200 Amarillo TX 6 (Dallas) 08/29/2018 4STD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0191 Softeners - Testing Hardness/Log Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
452722 Bma Guadalupe 626 Merida St San Antonio TX 6 (Dallas) 07/17/2018 O4G211 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
452722 Bma Guadalupe 626 Merida St San Antonio TX 6 (Dallas) 04/16/2024 VXBT11 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
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
452727 El Milagro Dialysis Unit 2800 So Ih 35 Iii Fountain Park Pl Austin TX 6 (Dallas) 03/08/2018 IKV611 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
452727 El Milagro Dialysis Unit 2800 So Ih 35 Iii Fountain Park Pl Austin TX 6 (Dallas) 05/29/2018 UPTZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
452727 El Milagro Dialysis Unit 2800 So Ih 35 Iii Fountain Park Pl Austin TX 6 (Dallas) 04/25/2019 6MI211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
452728 Spring Branch Dialysis 1425 Blalock, Suite 100 Houston TX 6 (Dallas) 12/11/2024 SLIC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard