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
552740 Dinuba Dialysis 510 East North Way Dinuba CA 9 (San Francisco) 08/16/2018 RIRQ11 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
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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0506 Immunization/Medication History Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
552741 Dialysis Center Of Porterville, Llc 841 West Henderson Avenue Porterville CA 9 (San Francisco) 06/28/2018 ONIH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0191 Softeners - Testing Hardness/Log Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0451 Patients Informed Of Rights When Begin Treatment Standard
V0467 Informed - Right To File Int/Ext Grievance W/O Risk/Anon Standard
V0543 Manage Volume Status Standard
V0546 Manage Mineral Metabolism Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
552742 Boyle Heights Dialysis 1936 East 1st Street Los Angeles CA 9 (San Francisco) 06/19/2019 D12P11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
552743 Los Gatos Dialysis 14251 Winchester Blvd, Suite 100 Los Gatos CA 9 (San Francisco) 11/28/2018 WZEU11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0146 Ic - Catheters; General Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552744 Hawthorne Dialysis 14204 Prairie Avenue Hawthorne CA 9 (San Francisco) 03/28/2018 FDG111 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0452 Respect & Dignity Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0506 Immunization/Medication History Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0561 Track Tp Referrals/Communicate With Tp Ctr Annually & If D Standard
V0675 Cfc - Laboratory Services Condition
V0676 Clia Labs/Meet Needs Of Patients Standard
552744 Hawthorne Dialysis 14204 Prairie Avenue Hawthorne CA 9 (San Francisco) 11/05/2018 693912 Complaint
Deficiency Tag Deficiency Description Tag Type
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
552745 Fresenius Medical Care East Lakes 2391 Boswell Road Chula Vista CA 9 (San Francisco) 03/09/2018 AY3311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0028 Dialysis Emergency Equipment Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552746 Satellite Healthcare Mountain View 247 W El Camino Real, Suite 100 Mountain View CA 9 (San Francisco) 02/08/2019 BD0211 Standard
Deficiency Tag Deficiency Description Tag Type
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0131 Ic - Hbv - Isolation - Staffing Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0225 Mixing Systems - Safe Environment/Ppe Standard
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0639 Prioritizing Improvement Activities Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552749 San Leandro Marina Dialysis 2551 Merced St San Leandro CA 9 (San Francisco) 03/08/2019 RTSY11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552750 Satellite Healthcare Of Los Gatos 53 Los Gatos Saratoga Road Los Gatos CA 9 (San Francisco) 04/17/2019 P7DM11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard