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
162567 Windsor Heights Dialysis 1119 73rd Street Windsor Heights IA 7 (Kansas City) 04/05/2022 OGWJ11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
162567 Windsor Heights Dialysis 1119 73rd Street Windsor Heights IA 7 (Kansas City) 05/21/2025 BN6U11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
162569 Fresenius Kidney Care West Des Moines 9080 University Avenue West Des Moines IA 7 (Kansas City) 04/28/2025 GE0011 Complaint
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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
162569 Fresenius Kidney Care West Des Moines 9080 University Avenue West Des Moines IA 7 (Kansas City) 09/04/2025 CDYX11 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
162570 Hawkeye Dialysis 701 Tama Street, Suite 150 Marion IA 7 (Kansas City) 06/05/2020 YIHN11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0502 Assess Current Health Status Inc Comorbids Standard
162570 Hawkeye Dialysis 701 Tama Street, Suite 150 Marion IA 7 (Kansas City) 10/26/2023 7MYL11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
162571 Mercy Dialysis-Plaza 5264 Council Street Ne Cedar Rapids IA 7 (Kansas City) 01/17/2018 2EFF11 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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0202 Di - Continuous Monitoring Resistivity/Logged 2 X Day Standard
V0239 Bicarb Conc Distribution - Weekly Disinfect/Dwell Times/Conc Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0511 Dialysis Access Type & Maintenance Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
162571 Mercy Dialysis-Plaza 5264 Council Street Ne Cedar Rapids IA 7 (Kansas City) 10/14/2021 W7U111 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0233 Bicarb Mixing Sys - Storage/Use Time Limits/Min Combine Standard
V0254 Microbial Monitoring - Sample Before Disinfect Standard
V0255 Microbial Monitoring - Repeat Cultures Standard
V0500 Cfc - Patient Assessment Condition
V0504 Assess B/P & Fluid Management Needs Standard
V0591 Home Patient Plan Of Care Dev/Updated Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0765 Internal Grievance Process Components & Implemented Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
162571 Mercy Dialysis-Plaza 5264 Council Street Ne Cedar Rapids IA 7 (Kansas City) 04/03/2025 WMAJ11 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
V0132 Ic - Training And Education Standard
V0544 Achieve Adequate Clearance Standard
V0595 Meet Rd 52 2004 Standard
163502 Mayo Clinic Dialysis-Decorah 901 Montgomery Street Decorah IA 7 (Kansas City) 06/23/2021 L7ZC11 Special, 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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard