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
113502 Camilla Dialysis 251 Us 19 N Camilla GA 4 (Atlanta) 04/20/2018 NHWJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
122500 Us Renal Care Wahiawa Dialysis 850 Kilani Avenue Wahiawa HI 9 (San Francisco) 03/26/2019 P2T511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0228 Mixing Systems - Labeling Standard
122501 U S Renal Care Honolulu Dialysis 226 North Kuakini Street Honolulu HI 9 (San Francisco) 03/13/2019 PMWO11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0184 Environment: Secure And Restricted Standard
V0503 Appropriateness Of Dialysis Rx Standard
122501 U S Renal Care Honolulu Dialysis 226 North Kuakini Street Honolulu HI 9 (San Francisco) 03/13/2019 PMWO21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0211 Means Of Egress - General Standard
K0331 Interior Wall And Ceiling Finish Standard
K0912 Electrical Systems - Receptacles Standard
K0920 Electrical Equipment - Power Cords And Extens Standard
122501 U S Renal Care Honolulu Dialysis 226 North Kuakini Street Honolulu HI 9 (San Francisco) 01/25/2023 E3EN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
122501 U S Renal Care Honolulu Dialysis 226 North Kuakini Street Honolulu HI 9 (San Francisco) 02/07/2023 E3EN21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0223 Doors With Self-Closing Devices Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0346 Fire Alarm System - Out Of Service Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0354 Sprinkler System - Out Of Service Standard
K0531 Elevators Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
122502 U S Renal Care Windward Dialysis 45-480 Kaneohe Bay Drive Kaneohe HI 9 (San Francisco) 03/30/2019 X1EM11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0503 Appropriateness Of Dialysis Rx Standard
122502 U S Renal Care Windward Dialysis 45-480 Kaneohe Bay Drive Kaneohe HI 9 (San Francisco) 01/18/2023 ZQO211 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
122503 Us Renal Care Aloha Dialysis 1520 Liliha Street Honolulu HI 9 (San Francisco) 03/19/2019 SZ6511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0405 Pe - Comfortable Temperature Standard
122503 Us Renal Care Aloha Dialysis 1520 Liliha Street Honolulu HI 9 (San Francisco) 01/27/2023 FWGN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard