S&C QCOR ESRD 2567s
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ESRDs 2567s
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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
▼ 652504 Tumon Kidney Center 1406 N Marine Corps Drive Tamuning GU 9 (San Francisco) 09/05/2019 D9CI11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
▼ 652505 U S Renal Care Finegayan Dialysis 781 Route 3, Suite 101 Dededo GU 9 (San Francisco) 05/27/2021 RCL911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0543 Manage Volume Status Standard
▼ 662300 Commonwealth Health Center P O Box 500409ck, Navy Hill Road Garapan MP 9 (San Francisco) 09/09/2019 DG2311 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
▼ 662501 St Jude Renal Care Facility Chalan Kiya Garapan MP 9 (San Francisco) 09/12/2019 SO9U11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0027 Dialysis Emergency Medical System Assistance Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0507 Assess Anemia Standard
V0544 Achieve Adequate Clearance Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
▼ 662502 Saipan Renal Care 7014 Ilamefisch Place, Beach Road, Po Box 500170 Garapan MP 9 (San Francisco) 09/01/2021 1N7B11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0034 Information On Occupancy/Needs Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 672500 Lake Jackson Dialysis 450 This Way, Suite A Lake Jackson TX 6 (Dallas) 09/22/2022 9EJC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0463 Receive Services Outlined In Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 672501 Transmountain Dialysis 5800 Woodrow Bean El Paso TX 6 (Dallas) 01/16/2018 UV7L12 Standard
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control Condition
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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0591 Home Patient Plan Of Care Dev/Updated Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0686 Charge Nurse - 12 Mo Nursing + 3 Mo Dialysis Standard
V0729 Mr - Complete Records Promptly Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
▼ 672501 Transmountain Dialysis 5800 Woodrow Bean El Paso TX 6 (Dallas) 05/17/2022 2SK911 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
▼ 672502 Us Renal Care Mission Dialysis 1200 St Claire Boulevard Mission TX 6 (Dallas) 06/26/2018 YE8I11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 672502 Us Renal Care Mission Dialysis 1200 St Claire Boulevard Mission TX 6 (Dallas) 04/15/2022 XM0Q11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0184 Environment: Secure And Restricted Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard