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
▼ 552653 Satellite Healthcare Merced 3376 N Highway 59, Ste I Merced CA 9 (San Francisco) 05/02/2019 NQKF11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
▼ 552653 Satellite Healthcare Merced 3376 N Highway 59, Ste I Merced CA 9 (San Francisco) 06/30/2022 GPDT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 552657 Quality Dialysis Center Of San Gabriel 801 South San Gabriel Blvd San Gabriel CA 9 (San Francisco) 04/20/2022 C01B11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0184 Environment: Secure And Restricted Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx 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
V0750 Cfc - Governance Condition
V0800 Covid-19 Vaccination Of Facility Staff Standard
▼ 552657 Quality Dialysis Center Of San Gabriel 801 South San Gabriel Blvd San Gabriel CA 9 (San Francisco) 04/20/2022 C01B21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0025 Arrangement With Other Facilities Standard
E0028 Dialysis Emergency Equipment Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
▼ 552657 Quality Dialysis Center Of San Gabriel 801 South San Gabriel Blvd San Gabriel CA 9 (San Francisco) 02/16/2023 51GF11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 552657 Quality Dialysis Center Of San Gabriel 801 South San Gabriel Blvd San Gabriel CA 9 (San Francisco) 10/17/2024 M11B11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 552657 Quality Dialysis Center Of San Gabriel 801 South San Gabriel Blvd San Gabriel CA 9 (San Francisco) 12/10/2025 UIKO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0111 Ic - Sanitary Environment Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
▼ 552660 Pasadena Foothills Dialysis 3722 East Colorado Boulevard Pasadena CA 9 (San Francisco) 06/01/2018 QRE411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0453 Receive Information In An Understandable Way Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
▼ 552661 Gateway Plaza Dialysis 1580 West Rosecrans Avenue Compton CA 9 (San Francisco) 06/26/2019 PVFG11 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
▼ 552662 U S Renal Care Verdugo Hills Dialysis 1808 Verdugo Boulevard #200 Glendale CA 9 (San Francisco) 07/26/2018 18ND12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0504 Assess B/P & Fluid Management Needs Standard