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
672532 Sng-San Saba 915 S Laredo St San Antonio TX 6 (Dallas) 10/14/2021 ZM2G11 Complaint
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
V0457 Execute Advance Directives, Facility Policy Re Ad Standard
V0725 Cfc - Medical Records Condition
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
672532 Sng-San Saba 915 S Laredo St San Antonio TX 6 (Dallas) 02/10/2022 DGSB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0110 Cfc - Infection Control Condition
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0132 Ic - Training And Education Standard
V0144 Ic - Staff Report Ic Issues Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
V0729 Mr - Complete Records Promptly Standard
V0750 Cfc - Governance Condition
V0762 Gb - Responsible For Medical Staff Credentialing Standard
672532 Sng-San Saba 915 S Laredo St San Antonio TX 6 (Dallas) 09/29/2025 OBDK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0765 Internal Grievance Process Components & Implemented Standard
672534 Us Renal Care Maverick County Dialysis 3307 Bob Rogers Drive Eagle Pass TX 6 (Dallas) 02/16/2018 IFIY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0184 Environment: Secure And Restricted Standard
V0510 Msw - Psychosocial Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
672534 Us Renal Care Maverick County Dialysis 3307 Bob Rogers Drive Eagle Pass TX 6 (Dallas) 03/05/2019 WKIZ11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0144 Ic - Staff Report Ic Issues Standard
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0632 Qapi Indicator - Anemia Management Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0711 Medical Director Qualified/Accountable To Governing Body Standard
V0750 Cfc - Governance Condition
V0756 Adm Resp For Resources For Qapi Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
672537 Summit Dialysis 3150 Polk Street Houston TX 6 (Dallas) 09/18/2018 Q3EY11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
672537 Summit Dialysis 3150 Polk Street Houston TX 6 (Dallas) 02/07/2020 4QF711 Complaint, 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
V0111 Ic - Sanitary Environment Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
672537 Summit Dialysis 3150 Polk Street Houston TX 6 (Dallas) 02/11/2021 73W811 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
672538 Willowbrook Dialysis 12120 Jones Road Suite G Houston TX 6 (Dallas) 06/13/2019 KBNY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0450 Cfc - Patients' Rights Condition
V0463 Receive Services Outlined In Poc Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0640 Immediately Correct Any Ij Issues Standard
V0750 Cfc - Governance Condition
V0754 Adm Resp For Fiscal Operations Standard
672538 Willowbrook Dialysis 12120 Jones Road Suite G Houston TX 6 (Dallas) 09/05/2019 KBNY12 Standard
Deficiency Tag Deficiency Description Tag Type
V0715 Md Resp - Ensure All Adhere To P&P Standard