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
▼ 672594 Angelo Kidney Connection, Pllc 2901 Sherwood Way, Suite 100 San Angelo TX 6 (Dallas) 12/19/2018 M5XY11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0206 Di - Chemical Analysis - Frequency Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 672594 Angelo Kidney Connection, Pllc 2901 Sherwood Way, Suite 100 San Angelo TX 6 (Dallas) 05/29/2019 FQE311 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
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0580 Cfc: Care At Home Condition
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
V0584 Training Conducted By Qualified Rn Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0685 Self Care/Home Training Nurse - 12 Mo Rn + 3 Mo Modality Standard
▼ 672594 Angelo Kidney Connection, Pllc 2901 Sherwood Way, Suite 100 San Angelo TX 6 (Dallas) 07/09/2019 FQE312 Standard
Deficiency Tag Deficiency Description Tag Type
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0598 Plan For Er Back-Up Dialysis Standard
▼ 672594 Angelo Kidney Connection, Pllc 2901 Sherwood Way, Suite 100 San Angelo TX 6 (Dallas) 02/16/2022 JZY511 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
V0114 Ic - Sinks Available Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
▼ 672594 Angelo Kidney Connection, Pllc 2901 Sherwood Way, Suite 100 San Angelo TX 6 (Dallas) 04/24/2024 9IYG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0039 Ep Testing Requirements Standard
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
V0360 Quality Assurance -General/Records/Trend Analysis Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
▼ 672594 Angelo Kidney Connection, Pllc 2901 Sherwood Way, Suite 100 San Angelo TX 6 (Dallas) 06/04/2025 7BRR11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 672596 Brownfield Dialysis 1407 Tahoka Rd Brownfield TX 6 (Dallas) 10/15/2018 8SDL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 672596 Brownfield Dialysis 1407 Tahoka Rd Brownfield TX 6 (Dallas) 09/04/2019 L8H711 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
V0757 Staff # & Ratio Meet Patient Needs Standard
V0765 Internal Grievance Process Components & Implemented Standard
▼ 672596 Brownfield Dialysis 1407 Tahoka Rd Brownfield TX 6 (Dallas) 09/24/2019 HJXG11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0450 Cfc - Patients' Rights Condition
V0452 Respect & Dignity Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0510 Msw - Psychosocial Needs Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition
V0753 Adm Resp For Staff Appointments Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
V0762 Gb - Responsible For Medical Staff Credentialing Standard
▼ 672596 Brownfield Dialysis 1407 Tahoka Rd Brownfield TX 6 (Dallas) 01/23/2020 R2JT11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0179 Bacteriology Of Water-Medical Director Responsible Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0274 Water Test Results - Deviations Require Corrective Action Plan Standard
V0400 Cfc - Physical Environment Condition
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
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0693 Pct - Complete Training Program Standard
V0696 Water Treatment System Techs Training Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0750 Cfc - Governance Condition