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
▼ 672523 Marymont Dialysis Center 2391 Ne Loop 410 Suite 211 San Antonio TX 6 (Dallas) 06/21/2023 NUL111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0712 Md Resp - Qapi Program Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
▼ 672523 Marymont Dialysis Center 2391 Ne Loop 410 Suite 211 San Antonio TX 6 (Dallas) 11/01/2024 HK0411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
▼ 672524 Angleton Dialysis 102 E Hospital Drive Angleton TX 6 (Dallas) 07/28/2023 W8F811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training 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
V0184 Environment: Secure And Restricted Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
▼ 672527 Sng - Barlite 7500 Barlite, Suite 103 San Antonio TX 6 (Dallas) 03/22/2022 6UYL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
▼ 672529 Gracias Dialysis 12430 State Highway 249, Suite H Houston TX 6 (Dallas) 09/07/2018 HRTP11 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0540 Cfc: Patient Plan Of Care Condition
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0640 Immediately Correct Any Ij Issues Standard
V0696 Water Treatment System Techs Training Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard
▼ 672529 Gracias Dialysis 12430 State Highway 249, Suite H Houston TX 6 (Dallas) 10/03/2018 HRTP12 Standard
Deficiency Tag Deficiency Description Tag Type
V0507 Assess Anemia Standard
▼ 672530 Fresenius Medical Care Hillsboro Kidney Center 1507 Hillview Drive Hillsboro TX 6 (Dallas) 04/02/2021 NWJM11 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
▼ 672531 Grapevine Dialysis 1651 W Northwest Highway Suite 100 Grapevine TX 6 (Dallas) 06/23/2022 XT4411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
▼ 672531 Grapevine Dialysis 1651 W Northwest Highway Suite 100 Grapevine TX 6 (Dallas) 09/04/2024 JCQG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 672532 Sng-San Saba 915 S Laredo St San Antonio TX 6 (Dallas) 09/16/2020 LBFT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard