S&C QCOR ESRD 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ESRDs 2567s
Selection Criteria

Time Interval

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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
452790 Cvs Kidney Care Dialysis Services ' Satellite Heal 10000 Metric Blvd Ste 100 Austin TX 6 (Dallas) 07/24/2019 IL6311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0503 Appropriateness Of Dialysis Rx Standard
452791 Dialysis Clinic Inc 4731 N E Stallings Nacogdoches TX 6 (Dallas) 09/19/2019 0T8W11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0246 Bicarb Conc Distribution - Color Coded Blue & Sealed Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
452791 Dialysis Clinic Inc 4731 N E Stallings Nacogdoches TX 6 (Dallas) 05/19/2021 J4XS11 Standard
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
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
452791 Dialysis Clinic Inc 4731 N E Stallings Nacogdoches TX 6 (Dallas) 06/29/2021 J4XS12 Standard
Deficiency Tag Deficiency Description Tag Type
V0188 Sediment Filters - Config And Monitoring Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0233 Bicarb Mixing Sys - Storage/Use Time Limits/Min Combine Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0502 Assess Current Health Status Inc Comorbids Standard
452791 Dialysis Clinic Inc 4731 N E Stallings Nacogdoches TX 6 (Dallas) 10/25/2021 LRGF11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
452791 Dialysis Clinic Inc 4731 N E Stallings Nacogdoches TX 6 (Dallas) 12/09/2021 LRGF12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
452792 Lubbock Dialysis Center Redbud 1126 Slide Rd Ste 4 Lubbock TX 6 (Dallas) 04/17/2018 E8LK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
452792 Lubbock Dialysis Center Redbud 1126 Slide Rd Ste 4 Lubbock TX 6 (Dallas) 07/17/2018 6K2T11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
452792 Lubbock Dialysis Center Redbud 1126 Slide Rd Ste 4 Lubbock TX 6 (Dallas) 04/30/2019 WQ2Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
452792 Lubbock Dialysis Center Redbud 1126 Slide Rd Ste 4 Lubbock TX 6 (Dallas) 09/26/2019 LHD011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0450 Cfc - Patients' Rights Condition
V0452 Respect & Dignity Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
V0766 Gb & Med Dir Ensure All Staff Follow Disch/Transfer P&P Standard