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
452869 Sugarland Dialysis 13855 Southwest Freeway Sugar Land TX 6 (Dallas) 10/04/2018 4WF411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0450 Cfc - Patients' Rights Condition
V0463 Receive Services Outlined In Poc Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
452869 Sugarland Dialysis 13855 Southwest Freeway Sugar Land TX 6 (Dallas) 03/06/2024 9IB511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0028 Dialysis Emergency Equipment Standard
E0032 Primary/Alternate Means For Communication Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0506 Immunization/Medication History Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0540 Cfc: Patient Plan Of Care Condition
V0549 Monitor Esa Response Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0633 Qapi Indicator - Vascular Access Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
452869 Sugarland Dialysis 13855 Southwest Freeway Sugar Land TX 6 (Dallas) 06/04/2024 9IB513 Standard
Deficiency Tag Deficiency Description Tag Type
V0543 Manage Volume Status Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
452869 Sugarland Dialysis 13855 Southwest Freeway Sugar Land TX 6 (Dallas) 06/05/2025 47IO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0110 Cfc - Infection Control Condition
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0191 Softeners - Testing Hardness/Log Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0508 Assess Renal Bone Disease Standard
V0549 Monitor Esa Response Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0755 Adm Resp For Relationship With Esrd Nw Standard
452869 Sugarland Dialysis 13855 Southwest Freeway Sugar Land TX 6 (Dallas) 07/15/2025 47IO12 Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
452870 Us Renal Care Mid Valley Weslaco Dialysis 1005 South Airport Drive Weslaco TX 6 (Dallas) 05/23/2018 NOLW11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
452870 Us Renal Care Mid Valley Weslaco Dialysis 1005 South Airport Drive Weslaco TX 6 (Dallas) 08/07/2024 J52811 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
452873 Odessa Dialysis 1216 E 8th St Odessa TX 6 (Dallas) 05/05/2021 6SID11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
452875 Physicians Dialysis North Houston 7115 North Loop East, North Port #2 Houston TX 6 (Dallas) 04/09/2019 KRPY11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
452878 Matagorda Dialysis Care Llp 1105 Avenue H Bay City TX 6 (Dallas) 03/04/2020 0HRH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard