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
452838 Usrc Tarrant Dialysis Center North Fort Worth 1978 Ephriham Avenue Fort Worth TX 6 (Dallas) 12/03/2021 3NMQ12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
452841 Dialysis Clinic Inc 304 Epps Street Center TX 6 (Dallas) 11/05/2024 CI0411 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
V0111 Ic - Sanitary Environment Standard
V0114 Ic - Sinks Available Standard
V0121 Ic - Handling Infectious Waste Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0200 Ro - Monitor/Alarm/Prevent Use Of Unsafe Water Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0451 Patients Informed Of Rights When Begin Treatment Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
452842 Childrens Dialysis Clinic Of Central Texas 1301 Barbara Jordan Blvd, Suite 103 Austin TX 6 (Dallas) 03/25/2019 92H211 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
452845 Pearland Dialysis 6516 Broadway Pearland TX 6 (Dallas) 04/26/2023 RKZ311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
452845 Pearland Dialysis 6516 Broadway Pearland TX 6 (Dallas) 11/15/2023 PVYV11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
452845 Pearland Dialysis 6516 Broadway Pearland TX 6 (Dallas) 03/06/2024 EIRK11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
452846 Fmc Dialysis Svcs Of N Brownsville 1900 N Expressway Suite E Brownsville TX 6 (Dallas) 09/29/2021 4P5M11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
452846 Fmc Dialysis Svcs Of N Brownsville 1900 N Expressway Suite E Brownsville TX 6 (Dallas) 06/11/2025 189V11 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
452847 Pin Oak Dialysis 24968 Katy Ranch Road, Suite 500 Katy TX 6 (Dallas) 05/15/2019 2OP611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
452847 Pin Oak Dialysis 24968 Katy Ranch Road, Suite 500 Katy TX 6 (Dallas) 07/17/2024 V0LU11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0547 Manage Anemia/H/H Measured Monthly Standard