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
132514 Liberty Dialysis - Idaho Falls 2381 East Sunnyside Road Idaho Falls ID 10 (Seattle) 03/30/2023 XC4Y11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
132515 Idaho Kidney Center - Blackfoot 245 Poplar St Blackfoot ID 10 (Seattle) 10/20/2020 ZN2K11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
132515 Idaho Kidney Center - Blackfoot 245 Poplar St Blackfoot ID 10 (Seattle) 09/13/2022 D9HS11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0463 Receive Services Outlined In Poc Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
132516 Liberty Dialysis - Nampa 280 West Georgia Avenue Nampa ID 10 (Seattle) 11/19/2018 WHXX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0628 Measure, Analyze And Track Quality Indicators Standard
132516 Liberty Dialysis - Nampa 280 West Georgia Avenue Nampa ID 10 (Seattle) 05/19/2022 Z61L11 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
132518 Caldwell Dialysis Center 4716 Beacon Ln Caldwell ID 10 (Seattle) 08/21/2020 OTSG11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
132518 Caldwell Dialysis Center 4716 Beacon Ln Caldwell ID 10 (Seattle) 08/23/2023 T4QJ11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
132519 U S Renal Care Hayden Dialysis 8556 Wayne Drive Hayden ID 10 (Seattle) 05/08/2025 LORY11 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
V0463 Receive Services Outlined In Poc Standard
132520 Palouse Dialysis Center 723 South Main Street Moscow ID 10 (Seattle) 03/07/2019 JIPN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0581 Idt Resp - Services Equivalent To In-Center Patients Standard
132521 Moscow Dialysis Center 212 Rodeo Drive, Suite 110 Moscow ID 10 (Seattle) 08/30/2018 2PG711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0031 Emergency Officials Contact Information Standard
E0034 Information On Occupancy/Needs Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard