S&C QCOR ESRD 2567s
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ESRDs 2567s
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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
▼ 452883 Southeast Tyler Dialysis 3826 Troup Highway, Suite L Tyler TX 6 (Dallas) 04/12/2019 CLYF11 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
E0038 Esrd Ep Training Program Standard
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
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0228 Mixing Systems - Labeling Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0246 Bicarb Conc Distribution - Color Coded Blue & Sealed Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0761 Staff Have Access To Continuing Education Standard
▼ 452883 Southeast Tyler Dialysis 3826 Troup Highway, Suite L Tyler TX 6 (Dallas) 11/26/2019 D4UU11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0246 Bicarb Conc Distribution - Color Coded Blue & Sealed Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
▼ 452883 Southeast Tyler Dialysis 3826 Troup Highway, Suite L Tyler TX 6 (Dallas) 09/21/2023 L81J11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
▼ 452883 Southeast Tyler Dialysis 3826 Troup Highway, Suite L Tyler TX 6 (Dallas) 09/23/2024 FTUN11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
▼ 452883 Southeast Tyler Dialysis 3826 Troup Highway, Suite L Tyler TX 6 (Dallas) 01/13/2025 M93P11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0228 Mixing Systems - Labeling Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
▼ 452883 Southeast Tyler Dialysis 3826 Troup Highway, Suite L Tyler TX 6 (Dallas) 05/05/2025 UI2C11 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
V0228 Mixing Systems - Labeling Standard
V0230 Mixing Systems - Cleaning Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
▼ 452884 Dallas North Dialysis Center 11886 Greenville Ave Suite 100b Dallas TX 6 (Dallas) 04/04/2019 ETSJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
▼ 452884 Dallas North Dialysis Center 11886 Greenville Ave Suite 100b Dallas TX 6 (Dallas) 08/07/2019 4MY711 Complaint
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
▼ 452885 Kilgore Dialysis Center 2403 Hwy 42 North Kilgore TX 6 (Dallas) 11/04/2019 ZX1211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0510 Msw - Psychosocial Needs Standard
▼ 452885 Kilgore Dialysis Center 2403 Hwy 42 North Kilgore TX 6 (Dallas) 11/06/2019 ZJWG11 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
V0110 Cfc - Infection Control Condition
V0114 Ic - Sinks Available 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
V0184 Environment: Secure And Restricted Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0208 Water Storage And Distribution -Design Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0228 Mixing Systems - Labeling Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0510 Msw - Psychosocial Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0692 Pct - State Requirements & Hs Diploma Standard
V0757 Staff # & Ratio Meet Patient Needs Standard