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
552817 Jurupa Valley Dialysis 8080 Limonite Ave Jurupa Valley CA 9 (San Francisco) 07/31/2024 Q20G11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
552818 Delano Kidney Center Llc 1980 Cecil Avenue Delano CA 9 (San Francisco) 06/05/2018 2VKP11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
552818 Delano Kidney Center Llc 1980 Cecil Avenue Delano CA 9 (San Francisco) 06/25/2020 KH2D11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
552818 Delano Kidney Center Llc 1980 Cecil Avenue Delano CA 9 (San Francisco) 12/07/2022 QT9B11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
552820 Fresenius Medical Care Fresno Airport East 1899 N. Helm Avenue Fresno CA 9 (San Francisco) 05/18/2021 U1PW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
552822 Davita Huntington Dialysis 390 South Fair Oaks Avenue, #120 Pasadena CA 9 (San Francisco) 07/26/2022 V7F711 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
552825 U S Renal Care Victorville Home Dialysis 17125 Silica Drive, Suite 102 Victorville CA 9 (San Francisco) 01/26/2018 NBUK11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0598 Plan For Er Back-Up Dialysis Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
552833 Us Renal Care South Bay Dialysis 4450 182nd Street Redondo Beach CA 9 (San Francisco) 04/27/2018 WEM811 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
552837 Pomona Dialysis Center, Inc 255 East Bonita Avenue Pomona CA 9 (San Francisco) 06/04/2018 8S3O11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
552838 Redhawk Dialysis 44605 Avenida De Missiones Ste 100 Temecula CA 9 (San Francisco) 07/18/2018 O3YC11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard