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
552521 White Lane Dialysis 7701 White Lane, Suite D Bakersfield CA 9 (San Francisco) 06/19/2018 Y0CC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
552521 White Lane Dialysis 7701 White Lane, Suite D Bakersfield CA 9 (San Francisco) 10/06/2021 NQ1R11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552521 White Lane Dialysis 7701 White Lane, Suite D Bakersfield CA 9 (San Francisco) 10/18/2024 WO9L11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0191 Softeners - Testing Hardness/Log Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552522 Rai - Chadbourne - Fairfield 490 Chadbourne Road Fairfield CA 9 (San Francisco) 07/30/2018 G75O11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0452 Respect & Dignity Standard
V0544 Achieve Adequate Clearance Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0729 Mr - Complete Records Promptly Standard
552526 U S Renal Care Grand Avenue Dialysis 1400 South Grand Avenue #105 Los Angeles CA 9 (San Francisco) 04/20/2020 DFB111 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0176 Water Purity - Ansi/Aami Rd52-2004 Standard
552526 U S Renal Care Grand Avenue Dialysis 1400 South Grand Avenue #105 Los Angeles CA 9 (San Francisco) 06/23/2020 ZGND11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
552529 Elk Grove Dialysis 9281 Office Park Circle, Suite 105 Elk Grove CA 9 (San Francisco) 12/18/2019 97NI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
552532 Fresenius Medical Care Of South Bay 1221 West Pacific Coast Highway Harbor City CA 9 (San Francisco) 01/23/2019 66K911 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
V0503 Appropriateness Of Dialysis Rx Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
552533 Marysville Dialysis Center 1015 8th Street Marysville CA 9 (San Francisco) 02/20/2020 1ILB11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0228 Mixing Systems - Labeling Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
552535 Concord Dialysis Center 1225 Willow Pass Road Concord CA 9 (San Francisco) 03/07/2022 BY0F11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard