S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 672553 Davita Downtown Dallas Dialysis 3515 Swiss Avenue Ste A Dallas TX 6 (Dallas) 10/12/2018 J8GB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0022 Policies/Procedures For Sheltering In Place Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
▼ 672553 Davita Downtown Dallas Dialysis 3515 Swiss Avenue Ste A Dallas TX 6 (Dallas) 06/26/2019 MWDT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0450 Cfc - Patients' Rights Condition
V0463 Receive Services Outlined In Poc Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
▼ 672554 Usrenal Care Tarrant Dialysis North Richland Hills 6455 Hill Top Drive Suite 112 Fort Worth TX 6 (Dallas) 08/10/2023 BKF411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
▼ 672554 Usrenal Care Tarrant Dialysis North Richland Hills 6455 Hill Top Drive Suite 112 Fort Worth TX 6 (Dallas) 04/11/2024 PBDG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0208 Water Storage And Distribution -Design Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0248 Dialysate Proportioning - Match Ratio - All Conc/Machine Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 672554 Usrenal Care Tarrant Dialysis North Richland Hills 6455 Hill Top Drive Suite 112 Fort Worth TX 6 (Dallas) 06/19/2025 3F4K11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0505 Assess Lab Profile Standard
V0510 Msw - Psychosocial Needs Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
▼ 672555 Garland Dialysis 776 E Centerville Road Garland TX 6 (Dallas) 02/06/2019 YNMS11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 672556 Downtown San Antonio Dialysis 615 East Quincy San Antonio TX 6 (Dallas) 02/08/2024 GHFE11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0100 Cfc - Compliance With Fed/State/Local Laws Condition
V0101 Compliance With Fed/State/Local Laws Standard
V0110 Cfc - Infection Control Condition
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0144 Ic - Staff Report Ic Issues Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0680 Cfc - Personnel Qualifications Condition
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0685 Self Care/Home Training Nurse - 12 Mo Rn + 3 Mo Modality Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0711 Medical Director Qualified/Accountable To Governing Body Standard
V0712 Md Resp - Qapi Program Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0729 Mr - Complete Records Promptly Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 672558 Davita East Dialysis 11989 Pellicano Drive El Paso TX 6 (Dallas) 02/21/2018 076J11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 672558 Davita East Dialysis 11989 Pellicano Drive El Paso TX 6 (Dallas) 08/13/2021 MZF311 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
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
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0220 Bacterial Control - Machine Supply Line Disinfected Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0253 Microbial Monitoring - Mo Dialysate Sample/Collection/Freq Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 672560 Deerbrook Dialysis 9660 Fm1960 Bypass Humble TX 6 (Dallas) 06/29/2022 Q0AC11 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
V0113 Ic - Wear Gloves/Hand Hygiene 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
V0504 Assess B/P & Fluid Management Needs Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0754 Adm Resp For Fiscal Operations Standard