S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 282314 Box Butte Dialysis Unit P O Box 810, 2101 Box Butte Avenue Alliance NE 7 (Kansas City) 12/01/2023 M82211 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
▼ 282315 Cherry County Hospital Dialysis Unit 510 North Green Street Valentine NE 7 (Kansas City) 08/18/2020 P4Z111 Standard
Deficiency Tag Deficiency Description Tag Type
E0013 Development Of Ep Policies And Procedures Standard
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0132 Ic - Training And Education Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
▼ 282315 Cherry County Hospital Dialysis Unit 510 North Green Street Valentine NE 7 (Kansas City) 05/23/2024 DB4D11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0466 Informed - External Grievance Processes Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0752 Appoint Ceo/Administrator Standard
▼ 282316 Avera St Anthony's Hospital P O Box 270, 300 North 2nd Street O' Neill NE 7 (Kansas City) 10/08/2019 M44M21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance And Testing Standard
▼ 282316 Avera St Anthony's Hospital P O Box 270, 300 North 2nd Street O' Neill NE 7 (Kansas City) 10/10/2019 M44M11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 282316 Avera St Anthony's Hospital P O Box 270, 300 North 2nd Street O' Neill NE 7 (Kansas City) 07/10/2023 BEUH21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0353 Sprinkler System - Maintenance And Testing Standard
▼ 282316 Avera St Anthony's Hospital P O Box 270, 300 North 2nd Street O' Neill NE 7 (Kansas City) 07/13/2023 BEUH11 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
V0466 Informed - External Grievance Processes Standard
▼ 282319 Children's Nebraska 111 N 84th Street Omaha NE 7 (Kansas City) 05/09/2024 GS8511 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
▼ 282500 Dialysis Center Of Lincoln 7910 O Street Lincoln NE 7 (Kansas City) 03/16/2018 JNPU11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0452 Respect & Dignity Standard
V0695 Pct Certified Standard
▼ 282500 Dialysis Center Of Lincoln 7910 O Street Lincoln NE 7 (Kansas City) 05/31/2018 09Y411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control Condition
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0131 Ic - Hbv - Isolation - Staffing Standard