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
▼ 052865 Century City Dialysis 10630 Santa Monica Boulevard Los Angeles CA 9 (San Francisco) 10/17/2022 DBFL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
▼ 052867 East Palmdale Dialysis Center 2710 East Palmdale Blvd Palmdale CA 9 (San Francisco) 02/09/2018 IHUN12 Standard
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control null
V0112 Ic - Cdc Mmwr 2001 null
V0113 Ic - Wear Gloves/Hand Hygiene null
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area null
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected null
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols null
V0143 Ic - Aseptic Techniques For Iv Meds null
V0147 Ic - Staff Education Re Catheters/Catheter Care null
V0180 Bacteriology Of Conventional Dialysate-Max And Action Levels null
V0196 Carbon Adsorption - Monitoring, Testing Frequency null
V0400 Cfc - Physical Environment null
V0401 Pe - Safe, Functional, Comfortable Environment null
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu null
V0407 Pe - Hemodialysis Patients In View During Treatments null
V0408 Emergency Preparedness - Procedures null
V0413 Emergency Equipment - On Premises: O2, Aed, Suction" null
V0500 Cfc - Patient Assessment null
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. null
V0503 Appropriateness Of Dialysis Rx null
V0504 Assess B/P & Fluid Management Needs null
V0517 F/U Reassessment - Within 3 Months Of Initial null
V0550 Vascular Access - Monitor/Referrals null
V0556 Poc Completed/Signed By Idt & Patient null
V0580 Cfc: Care At Home null
V0581 Idt Resp - Services Equivalent To In-Center Patients null
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months null
V0626 Covers Scope Of Services/Effective/Idt Involved null
V0675 Cfc - Laboratory Services null
V0676 Clia Labs/Meet Needs Of Patients null
V0680 Cfc - Personnel Qualifications null
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies null
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis null
V0689 Dietitian - Rd null
▼ 052867 East Palmdale Dialysis Center 2710 East Palmdale Blvd Palmdale CA 9 (San Francisco) 03/14/2019 OVZC11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0191 Softeners - Testing Hardness/Log Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0235 Additives - Mixing Spikes Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0633 Qapi Indicator - Vascular Access Standard
V0682 Medical Director - Bc + 12 Mo Dialysis Exp Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0714 Md Resp - Develop, Review& Approve P&P Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition
V0756 Adm Resp For Resources For Qapi Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
▼ 052869 Palmdale Regional 1643 East Palmdale Blvd Palmdale CA 9 (San Francisco) 02/07/2018 9DMN11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0260 Personnel - Training Program/Periodic Audits 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
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052870 Satellite Dialysis Of Sunnyvale 155 North Wolfe Road Sunnyvale CA 9 (San Francisco) 02/14/2019 N84V11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0131 Ic - Hbv - Isolation - Staffing Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0639 Prioritizing Improvement Activities Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052870 Satellite Dialysis Of Sunnyvale 155 North Wolfe Road Sunnyvale CA 9 (San Francisco) 11/15/2019 J3ZR11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
▼ 052871 Central Coast Kidney Center 2263 South Depot Street Santa Maria CA 9 (San Francisco) 08/29/2023 NU5H11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
▼ 052872 Florence Dialysis Center 351 West Florence Avenue Los Angeles CA 9 (San Francisco) 01/09/2019 HE0T11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
▼ 052872 Florence Dialysis Center 351 West Florence Avenue Los Angeles CA 9 (San Francisco) 03/24/2022 SKN811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 052873 Srs-Thousand Oaks 375 Rolling Oaks Dr Ste 100 Thousand Oaks CA 9 (San Francisco) 08/02/2018 K2N911 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard