S&C QCOR ESRD 2567s
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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
▼ 453513 University Dialysis Northwest 7540 Louis Pasteur, Suite 100 San Antonio TX 6 (Dallas) 08/16/2018 PD4I11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0184 Environment: Secure And Restricted Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0244 Bicarb Jug Maintenance/Disinfection Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0507 Assess Anemia Standard
▼ 453516 Driscoll Children's Valley Dialysis Center 1120 East Ridge Road, Mc Allen TX 6 (Dallas) 11/21/2023 YOH511 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
▼ 453517 Eastland Dialysis Center 2300 West Commerce Street Eastland TX 6 (Dallas) 02/02/2022 14LU11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0695 Pct Certified Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 453521 Hendrick Dialysis Center 820 N 19th St Abilene TX 6 (Dallas) 11/26/2019 RG7B11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0559 Outcome Not Achieved - Adjust Poc Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0762 Gb - Responsible For Medical Staff Credentialing Standard
▼ 453522 University Health Dialysis- Medical Center 6146 Wurzbach Road San Antonio TX 6 (Dallas) 04/05/2021 Z8NG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0233 Bicarb Mixing Sys - Storage/Use Time Limits/Min Combine Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 462308 Tooele Valley Dialysis Center 2356 North 400 East, Suite B102 Tooele UT 8 (Denver) 10/30/2018 AGTX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0036 Ep Training And Testing Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 462319 Blue Mountain Hospital Dialysis 802 South 200 West, Suite A Blanding UT 8 (Denver) 06/30/2022 K4WB11 Standard
Deficiency Tag Deficiency Description Tag Type
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
▼ 462320 Primary Children's Dialysis Center 81 North Mario Capecchi Drive Salt Lake City UT 8 (Denver) 08/21/2018 FZKY21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0712 Fire Drills Standard
▼ 462320 Primary Children's Dialysis Center 81 North Mario Capecchi Drive Salt Lake City UT 8 (Denver) 01/18/2022 5I0621 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0321 Hazardous Areas - Enclosure Standard
▼ 462503 Kolff Dialysis 423 South Wakara Way, Suite 200 Salt Lake City UT 8 (Denver) 03/16/2021 C8DZ11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0184 Environment: Secure And Restricted Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0580 Cfc: Care At Home Condition
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0594 Preconfig Hd Sys -Testing Water/Dialysate Follow Dfu/Fda Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0685 Self Care/Home Training Nurse - 12 Mo Rn + 3 Mo Modality Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition