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
452893 Pinecrest Dialysis Center 913 E Pinecrest Drive Marshall TX 6 (Dallas) 05/28/2025 TZT411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
452893 Pinecrest Dialysis Center 913 E Pinecrest Drive Marshall TX 6 (Dallas) 08/04/2025 L5BH11 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
452896 Us Renal Care Mansfield Dialysis 1800 Hwy 157 North Suite 101 Mansfield TX 6 (Dallas) 12/02/2022 0DDD11 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0730 Mr - Centralize All Info, Each Member Of Idt Has Access Standard
452897 Gilmer Dialysis 510 Us Hwy 271 N Gilmer TX 6 (Dallas) 09/17/2024 QPXJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment 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
V0184 Environment: Secure And Restricted Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0228 Mixing Systems - Labeling Standard
V0230 Mixing Systems - Cleaning Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0248 Dialysate Proportioning - Match Ratio - All Conc/Machine 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
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
452898 River Park Dialysis 2010 South Loop 336 West Suite 200 Conroe TX 6 (Dallas) 03/19/2021 ZOQE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
452899 Downtown Houston Dialysis Center 2207 Crawford Street Houston TX 6 (Dallas) 06/20/2019 ZCCW11 Complaint, 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
453500 University Dialysis West 701 S Zarzamora Mail Stop 17-5 San Antonio TX 6 (Dallas) 02/28/2024 5MDS11 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
453501 Baylor Scott & White Dialysis Center - Killeen 3701 Scott & White Drive Killeen TX 6 (Dallas) 12/16/2020 8V1I11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0355 Monitoring - Fever/Chills/Other Symptoms Standard
453501 Baylor Scott & White Dialysis Center - Killeen 3701 Scott & White Drive Killeen TX 6 (Dallas) 04/29/2021 Q4CN11 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
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
453502 Scott & White Medical Center ? Temple 2601 Thorton Lane Temple TX 6 (Dallas) 01/09/2018 HQB311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0469 Receive Written Notice 30 Days Before Involuntary Dc Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
V0767 Involuntary Discharge Process Requirements Standard