S&C QCOR ESRD 2567s
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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
▼ 672546 Fresenius Medical Care Of Northside 2532 Jacksboro Hwy Fort Worth TX 6 (Dallas) 10/18/2018 M9X011 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
▼ 672548 Carrollton Dialysis 1544 Valwood Parkway Suite 100 Carrollton TX 6 (Dallas) 03/11/2024 3ZU111 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 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
V0510 Msw - Psychosocial Needs Standard
▼ 672549 Bear Creek Dialysis 4978 North Highway 6 Suite I Houston TX 6 (Dallas) 12/05/2019 WN5S11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
E0036 Ep Training And Testing 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard
▼ 672549 Bear Creek Dialysis 4978 North Highway 6 Suite I Houston TX 6 (Dallas) 02/28/2023 J6NE11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0752 Appoint Ceo/Administrator Standard
▼ 672549 Bear Creek Dialysis 4978 North Highway 6 Suite I Houston TX 6 (Dallas) 06/15/2023 GU5L11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0463 Receive Services Outlined In Poc Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 672549 Bear Creek Dialysis 4978 North Highway 6 Suite I Houston TX 6 (Dallas) 10/12/2023 H7GW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0463 Receive Services Outlined In Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 672550 Mansfield Dialysis Center 352 Matlock Road Suite 120 Mansfield TX 6 (Dallas) 01/04/2023 96R611 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
▼ 672551 Fresenius Kidney Care Houston Ella Dialysis Center 1900 North Loop West Houston TX 6 (Dallas) 01/22/2020 JY8J11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0640 Immediately Correct Any Ij Issues Standard
▼ 672551 Fresenius Kidney Care Houston Ella Dialysis Center 1900 North Loop West Houston TX 6 (Dallas) 08/11/2023 X92L11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0036 Ep Training And Testing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0500 Cfc - Patient Assessment Condition
V0506 Immunization/Medication History Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
▼ 672551 Fresenius Kidney Care Houston Ella Dialysis Center 1900 North Loop West Houston TX 6 (Dallas) 11/14/2023 X92L12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0715 Md Resp - Ensure All Adhere To P&P Standard