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
282504 Dialysis Clinic, Inc. 3316 Dodge Street Omaha NE 7 (Kansas City) 01/20/2021 8U6Q21 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0271 Discharge From Exits Standard
K0293 Exit Signage Standard
K0321 Hazardous Areas - Enclosure Standard
K0712 Fire Drills Standard
282504 Dialysis Clinic, Inc. 3316 Dodge Street Omaha NE 7 (Kansas City) 04/18/2023 79QF11 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
V0112 Ic - Cdc Mmwr 2001 Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
282504 Dialysis Clinic, Inc. 3316 Dodge Street Omaha NE 7 (Kansas City) 02/20/2025 FEGA11 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
V0543 Manage Volume Status Standard
282504 Dialysis Clinic, Inc. 3316 Dodge Street Omaha NE 7 (Kansas City) 05/28/2025 FEGA12 Standard
Deficiency Tag Deficiency Description Tag Type
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0714 Md Resp - Develop, Review& Approve P&P Standard
V0750 Cfc - Governance Condition
V0752 Appoint Ceo/Administrator Standard
V0756 Adm Resp For Resources For Qapi Standard
282506 Omaha West Dialysis 13014 West Dodge Road Omaha NE 7 (Kansas City) 01/29/2020 15GL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
282506 Omaha West Dialysis 13014 West Dodge Road Omaha NE 7 (Kansas City) 11/05/2020 QR6911 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0757 Staff # & Ratio Meet Patient Needs Standard
282506 Omaha West Dialysis 13014 West Dodge Road Omaha NE 7 (Kansas City) 08/12/2021 53A611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
282506 Omaha West Dialysis 13014 West Dodge Road Omaha NE 7 (Kansas City) 04/07/2025 FZDB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0504 Assess B/P & Fluid Management Needs Standard
282506 Omaha West Dialysis 13014 West Dodge Road Omaha NE 7 (Kansas City) 07/24/2025 2E5G11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
282507 Dialysis Clinic, Inc 3015 North 118th St Omaha NE 7 (Kansas City) 11/07/2019 OCIB11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0767 Involuntary Discharge Process Requirements Standard