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
502520 Nkc Auburn Kidney Center 1501 West Valley Highway North, Suite 104 Auburn WA 10 (Seattle) 12/10/2020 OC9H11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
502522 Fresenius Kidney Care Fort Vancouver 13118 Ne Fourth St Vancouver WA 10 (Seattle) 07/30/2019 5GGC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0757 Staff # & Ratio Meet Patient Needs Standard
502522 Fresenius Kidney Care Fort Vancouver 13118 Ne Fourth St Vancouver WA 10 (Seattle) 04/01/2021 3WKG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0121 Ic - Handling Infectious Waste Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
502522 Fresenius Kidney Care Fort Vancouver 13118 Ne Fourth St Vancouver WA 10 (Seattle) 05/03/2022 FF6811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0260 Personnel - Training Program/Periodic Audits Standard
502526 Kent Dialysis Center 21851 84th Avenue South Kent WA 10 (Seattle) 01/30/2021 F3KH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0100 Cfc - Compliance With Fed/State/Local Laws Condition
V0101 Compliance With Fed/State/Local Laws 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
V0132 Ic - Training And Education Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0680 Cfc - Personnel Qualifications Condition
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
502526 Kent Dialysis Center 21851 84th Avenue South Kent WA 10 (Seattle) 01/24/2024 4X3U11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
502526 Kent Dialysis Center 21851 84th Avenue South Kent WA 10 (Seattle) 09/05/2025 SXGG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0022 Policies/Procedures For Sheltering In Place Standard
E0031 Emergency Officials Contact Information Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0131 Ic - Hbv - Isolation - Staffing Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0543 Manage Volume Status Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
502527 Spokane Kidney Center 610 South Sherman Avenue, Suite 101 Spokane WA 10 (Seattle) 05/19/2021 1TUH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0455 Privacy & Confidentiality In Records Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0750 Cfc - Governance Condition
502527 Spokane Kidney Center 610 South Sherman Avenue, Suite 101 Spokane WA 10 (Seattle) 06/02/2021 Y0PE11 Special
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0506 Immunization/Medication History Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
502527 Spokane Kidney Center 610 South Sherman Avenue, Suite 101 Spokane WA 10 (Seattle) 07/21/2021 1TUH12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard