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
162533 East Des Moines Dialysis 1201 Pennsylvania Ave Des Moines IA 7 (Kansas City) 12/05/2024 SRLJ11 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
V0175 Cfc - Water And Dialysate Quality Condition
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
162534 Perry Dialysis 610 10th Street Suite 100 Perry IA 7 (Kansas City) 01/25/2018 RMMW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
162534 Perry Dialysis 610 10th Street Suite 100 Perry IA 7 (Kansas City) 10/06/2020 6LF011 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
162535 Fresenius Medical Care Dialysis Services Mercy Des 6651 Sw 9th Street Des Moines IA 7 (Kansas City) 01/03/2018 E0EX11 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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
162535 Fresenius Medical Care Dialysis Services Mercy Des 6651 Sw 9th Street Des Moines IA 7 (Kansas City) 07/23/2019 LXQY11 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0500 Cfc - Patient Assessment Condition
V0505 Assess Lab Profile Standard
V0507 Assess Anemia Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
162535 Fresenius Medical Care Dialysis Services Mercy Des 6651 Sw 9th Street Des Moines IA 7 (Kansas City) 07/29/2020 E1OZ11 Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
162535 Fresenius Medical Care Dialysis Services Mercy Des 6651 Sw 9th Street Des Moines IA 7 (Kansas City) 08/08/2022 OAX011 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
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
162535 Fresenius Medical Care Dialysis Services Mercy Des 6651 Sw 9th Street Des Moines IA 7 (Kansas City) 04/04/2024 HIF811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
162536 Sanford Health Dialysis Hospers 112 Sunrise Drive Hospers IA 7 (Kansas City) 08/01/2018 3Q4N11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0202 Di - Continuous Monitoring Resistivity/Logged 2 X Day Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0630 Qapi Indicator - Nutritional Status Standard
162536 Sanford Health Dialysis Hospers 112 Sunrise Drive Hospers IA 7 (Kansas City) 11/06/2019 Y0II11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0218 Hot Water Disinfection Systems - Monitoring Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0253 Microbial Monitoring - Mo Dialysate Sample/Collection/Freq Standard
V0259 Personnel - P&P Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0453 Receive Information In An Understandable Way Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0732 Mr - Retain All Records 6 Years From Discharge/Death Standard