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
552706 Satellite Healthcare Laguna Hills 25251 Paseo De Alicia, Suite 105 Laguna Hills CA 9 (San Francisco) 01/10/2018 KJPD11 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
V0131 Ic - Hbv - Isolation - Staffing Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0184 Environment: Secure And Restricted Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552707 Bermuda Dunes Dialysis 78030 Wildcat Drive Palm Desert CA 9 (San Francisco) 01/19/2018 CC1U11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0540 Cfc: Patient Plan Of Care Condition
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0639 Prioritizing Improvement Activities Standard
552707 Bermuda Dunes Dialysis 78030 Wildcat Drive Palm Desert CA 9 (San Francisco) 03/08/2018 CC1U12 Standard
Deficiency Tag Deficiency Description Tag Type
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
552707 Bermuda Dunes Dialysis 78030 Wildcat Drive Palm Desert CA 9 (San Francisco) 09/26/2022 9DYM11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0540 Cfc: Patient Plan Of Care Condition
V0544 Achieve Adequate Clearance Standard
V0767 Involuntary Discharge Process Requirements Standard
552709 Quest Dialysis 3140 Long Beach Blvd Long Beach CA 9 (San Francisco) 03/31/2022 HUIT21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
552709 Quest Dialysis 3140 Long Beach Blvd Long Beach CA 9 (San Francisco) 03/31/2022 HUIT11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0544 Achieve Adequate Clearance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552711 Silicon Valley Dialysis 725 Ridder Park Drive, Suite 10 San Jose CA 9 (San Francisco) 01/16/2018 L70711 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0131 Ic - Hbv - Isolation - Staffing Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0633 Qapi Indicator - Vascular Access Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552711 Silicon Valley Dialysis 725 Ridder Park Drive, Suite 10 San Jose CA 9 (San Francisco) 07/26/2018 1E2O11 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
552711 Silicon Valley Dialysis 725 Ridder Park Drive, Suite 10 San Jose CA 9 (San Francisco) 02/28/2019 LR1811 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552711 Silicon Valley Dialysis 725 Ridder Park Drive, Suite 10 San Jose CA 9 (San Francisco) 10/09/2024 EXTZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard