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
552795 Riverlakes Home Training 3933 Coffee Road, Suite A Bakersfield CA 9 (San Francisco) 09/11/2019 FH5Q11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552795 Riverlakes Home Training 3933 Coffee Road, Suite A Bakersfield CA 9 (San Francisco) 08/12/2025 PFYL11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0593 Monitor Water/Dialysate Inc On Site Evaluation Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552796 Seven Oaks Dialysis 4651 Corporate Court Bakersfield CA 9 (San Francisco) 09/24/2019 5K7C11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0767 Involuntary Discharge Process Requirements Standard
552796 Seven Oaks Dialysis 4651 Corporate Court Bakersfield CA 9 (San Francisco) 06/11/2020 WMHQ11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
552797 Kerman Dialysis Center Llc 14945 West Whitesbridge Ave Kerman CA 9 (San Francisco) 11/24/2020 I5RD11 Complaint, Special
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
552799 Fresenius Medical Care South Bay Home Therapy 1223 Pacific Coast Highway Harbor City CA 9 (San Francisco) 02/11/2019 DPLF11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552800 Beverlywood Dialysis 2080 Century Park East, Suite #210 Los Angeles CA 9 (San Francisco) 02/26/2019 HKSU11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0191 Softeners - Testing Hardness/Log Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
552800 Beverlywood Dialysis 2080 Century Park East, Suite #210 Los Angeles CA 9 (San Francisco) 02/26/2019 HKSU21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0712 Fire Drills Standard
552800 Beverlywood Dialysis 2080 Century Park East, Suite #210 Los Angeles CA 9 (San Francisco) 03/04/2020 IMRA11 Standard
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
V0191 Softeners - Testing Hardness/Log Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
552800 Beverlywood Dialysis 2080 Century Park East, Suite #210 Los Angeles CA 9 (San Francisco) 03/04/2020 IMRA21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0355 Portable Fire Extinguishers Standard