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
132510 Yellowstone Dialysis Center 1165 Summers Drive Rexburg ID 10 (Seattle) 06/08/2022 STEY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0175 Cfc - Water And Dialysate Quality Condition
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0180 Bacteriology Of Conventional Dialysate-Max And Action Levels Standard
V0211 Water Distribution Sys - Continuous Flow Rates/No Dead Ends Standard
V0640 Immediately Correct Any Ij Issues Standard
V0750 Cfc - Governance Condition
132511 Idaho Kidney Center - Pocatello 333 Knudsen Blvd Chubbuck ID 10 (Seattle) 09/18/2020 O34211 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0505 Assess Lab Profile Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
132511 Idaho Kidney Center - Pocatello 333 Knudsen Blvd Chubbuck ID 10 (Seattle) 06/12/2024 L4HB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0220 Bacterial Control - Machine Supply Line Disinfected Standard
V0463 Receive Services Outlined In Poc Standard
132512 Liberty Dialysis - Meridian 3525 E Louise Dr, Suite 100 Meridian ID 10 (Seattle) 03/07/2018 9M0111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0543 Manage Volume Status Standard
V0580 Cfc: Care At Home Condition
V0582 Idt Oversees Home Training Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
132512 Liberty Dialysis - Meridian 3525 E Louise Dr, Suite 100 Meridian ID 10 (Seattle) 04/20/2018 9M0112 Standard
Deficiency Tag Deficiency Description Tag Type
V0458 Informed - All Modalities & Settings Standard
V0553 Home Dialysis Plan Or Why Not Standard
132512 Liberty Dialysis - Meridian 3525 E Louise Dr, Suite 100 Meridian ID 10 (Seattle) 09/03/2021 XNZP11 Special, 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0463 Receive Services Outlined In Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
132512 Liberty Dialysis - Meridian 3525 E Louise Dr, Suite 100 Meridian ID 10 (Seattle) 07/16/2025 B88H11 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
V0463 Receive Services Outlined In Poc Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
132513 Treasure Valley Dialysis Center 3045 E St Lukes St 105 Meridian ID 10 (Seattle) 08/02/2019 LWX511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0510 Msw - Psychosocial Needs Standard
V0544 Achieve Adequate Clearance Standard
V0580 Cfc: Care At Home Condition
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
132513 Treasure Valley Dialysis Center 3045 E St Lukes St 105 Meridian ID 10 (Seattle) 03/16/2023 CT9X11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0253 Microbial Monitoring - Mo Dialysate Sample/Collection/Freq Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
132514 Liberty Dialysis - Idaho Falls 2381 East Sunnyside Road Idaho Falls ID 10 (Seattle) 09/04/2020 WLSZ11 Special, 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
V0463 Receive Services Outlined In Poc Standard
V0543 Manage Volume Status Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard