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
▼ 552563 Ash Tree Dialysis 2666 N Grove Industrial Drive #106 Fresno CA 9 (San Francisco) 01/23/2019 MF5Q12 Standard
Deficiency Tag Deficiency Description Tag Type
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 552563 Ash Tree Dialysis 2666 N Grove Industrial Drive #106 Fresno CA 9 (San Francisco) 05/13/2021 W4I211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0580 Cfc: Care At Home Condition
V0588 Support Services Must Be Provided Standard
▼ 552564 Almond-Wood Dialysis 501 E Almond Avenue Madera CA 9 (San Francisco) 12/19/2018 9CJK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
▼ 552567 Templeton Dialysis 1310 Las Tablas Rd Ste 101 Templeton CA 9 (San Francisco) 08/30/2019 X57V11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0757 Staff # & Ratio Meet Patient Needs Standard
▼ 552567 Templeton Dialysis 1310 Las Tablas Rd Ste 101 Templeton CA 9 (San Francisco) 09/25/2019 TYOE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0546 Manage Mineral Metabolism Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 552567 Templeton Dialysis 1310 Las Tablas Rd Ste 101 Templeton CA 9 (San Francisco) 11/29/2022 3OM311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0458 Informed - All Modalities & Settings Standard
V0562 Patient/Family Education & Training Standard
▼ 552567 Templeton Dialysis 1310 Las Tablas Rd Ste 101 Templeton CA 9 (San Francisco) 06/21/2023 C7XJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 552567 Templeton Dialysis 1310 Las Tablas Rd Ste 101 Templeton CA 9 (San Francisco) 04/23/2024 ZPS011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 552569 Natomas Dialysis 30 Goldenland Court, Bldg G Sacramento CA 9 (San Francisco) 09/19/2018 T1R111 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
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 552569 Natomas Dialysis 30 Goldenland Court, Bldg G Sacramento CA 9 (San Francisco) 05/31/2023 GKMG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard