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
▼ 052862 Fmc Dialysis Services North Orange County 511 N Brookhurst Street, Ste 100 Anaheim CA 9 (San Francisco) 01/10/2025 5SII11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 052862 Fmc Dialysis Services North Orange County 511 N Brookhurst Street, Ste 100 Anaheim CA 9 (San Francisco) 02/19/2025 6DNV11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
▼ 052862 Fmc Dialysis Services North Orange County 511 N Brookhurst Street, Ste 100 Anaheim CA 9 (San Francisco) 07/11/2025 WUOD11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
▼ 052862 Fmc Dialysis Services North Orange County 511 N Brookhurst Street, Ste 100 Anaheim CA 9 (San Francisco) 08/13/2025 6U4L11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
▼ 052862 Fmc Dialysis Services North Orange County 511 N Brookhurst Street, Ste 100 Anaheim CA 9 (San Francisco) 09/24/2025 0HPU11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0468 Informed - D/C & Transfer Policies Inc Involuntary Dc Standard
▼ 052862 Fmc Dialysis Services North Orange County 511 N Brookhurst Street, Ste 100 Anaheim CA 9 (San Francisco) 11/19/2025 5DIM11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
▼ 052863 Rai - North Riverside - Rialto 1850 North Riverside Avenue, Suite 150 Rialto CA 9 (San Francisco) 04/06/2018 7U9R11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0205 Di - Polish Or Back Up Standard
V0505 Assess Lab Profile Standard
▼ 052864 San Ysidro Dialysis Center 3010 Del Sol Blvd San Diego CA 9 (San Francisco) 07/27/2018 HC2I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0036 Ep Training And Testing Standard
E0040 Esrd Patient Orientation Training Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0198 Chemical Injection Systems Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0546 Manage Mineral Metabolism Standard
▼ 052865 Century City Dialysis 10630 Santa Monica Boulevard Los Angeles CA 9 (San Francisco) 02/21/2018 LN7Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0511 Dialysis Access Type & Maintenance Standard
▼ 052865 Century City Dialysis 10630 Santa Monica Boulevard Los Angeles CA 9 (San Francisco) 08/01/2018 7U9X11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment 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
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard