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
552602 San Jose At Home 4400 Stevens Creek Blvd, Suite 50 San Jose CA 9 (San Francisco) 04/06/2018 7MJ811 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552603 Joy Of Dixon Dialysis Center 1640 N. Lincoln Street Dixon CA 9 (San Francisco) 10/25/2023 NZ5I11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
552605 Rai-Oakland Home Program 1 2710 Telegraph Avenue, Suite 205 Oakland CA 9 (San Francisco) 05/24/2018 QX0P11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552607 Northgate Dialysis Center 650 Las Gallinas Avenue San Rafael CA 9 (San Francisco) 12/06/2019 VJFW11 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
V0726 Medical Records - Complete, Accurate, Accessible Standard
552607 Northgate Dialysis Center 650 Las Gallinas Avenue San Rafael CA 9 (San Francisco) 06/29/2020 HIKW11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
552611 Walnut Creek At Home 400 N Wiget Lane Walnut Creek CA 9 (San Francisco) 02/07/2020 THH611 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0595 Meet Rd 52 2004 Standard
552612 Sunset Dialysis Center 3071 Gold Canal Drive Rancho Cordova CA 9 (San Francisco) 09/07/2018 DGSN11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552612 Sunset Dialysis Center 3071 Gold Canal Drive Rancho Cordova CA 9 (San Francisco) 07/11/2019 J4VR11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
552616 Fresenius Medical Care Of Loma Linda 269 E Caroline Street Suite A San Bernardino CA 9 (San Francisco) 11/21/2019 XXG511 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0544 Achieve Adequate Clearance Standard
552617 Magnolia West At Home 3660 Park Sierra Drive, Suite #103 Riverside CA 9 (San Francisco) 08/21/2019 P9GU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0546 Manage Mineral Metabolism Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard