S&C QCOR ESRD 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ESRDs 2567s
Selection Criteria

Time Interval

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Note: There is currently no ESRD 2567 data available past Feb 19, 2026 due to data system migrations.

Provider Characteristics

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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
372518 Oklahoma City South Dialysis 319 Sw 59th Street Oklahoma City OK 6 (Dallas) 10/31/2018 KDBJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
372520 South Okla City Dialysis Ctr 5419 South Western Avenue Oklahoma City OK 6 (Dallas) 04/21/2023 3K2J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0244 Bicarb Jug Maintenance/Disinfection Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0750 Cfc - Governance Condition
372523 Lawton Dialysis Center Llc 5110-12 West Gore Boulevard, Suite 1 Lawton OK 6 (Dallas) 01/04/2018 VE5811 Standard
Deficiency Tag Deficiency Description Tag Type
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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0245 Acid Conc Distribution - Conc Labeled & Color-Coded Red Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0750 Cfc - Governance Condition
372523 Lawton Dialysis Center Llc 5110-12 West Gore Boulevard, Suite 1 Lawton OK 6 (Dallas) 06/18/2019 55VX11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
372523 Lawton Dialysis Center Llc 5110-12 West Gore Boulevard, Suite 1 Lawton OK 6 (Dallas) 10/14/2021 FERE11 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0540 Cfc: Patient Plan Of Care Condition
V0545 Effective Nutritional Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0594 Preconfig Hd Sys -Testing Water/Dialysate Follow Dfu/Fda Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
372523 Lawton Dialysis Center Llc 5110-12 West Gore Boulevard, Suite 1 Lawton OK 6 (Dallas) 01/19/2023 0O6F11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0750 Cfc - Governance Condition
372529 Pryor Dialysis 309 E Graham Pryor OK 6 (Dallas) 05/12/2018 YJGI11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0507 Assess Anemia Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0693 Pct - Complete Training Program Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
372530 Heartland Dialysis 925 Northeast 8th Street Oklahoma City OK 6 (Dallas) 02/15/2018 VHMW12 Standard
Deficiency Tag Deficiency Description Tag Type
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0405 Pe - Comfortable Temperature Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0540 Cfc: Patient Plan Of Care Condition
V0560 Patients Seen By Med Staff Member Monthly Standard
V0580 Cfc: Care At Home Condition
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0725 Cfc - Medical Records Condition
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
372530 Heartland Dialysis 925 Northeast 8th Street Oklahoma City OK 6 (Dallas) 10/24/2018 OLQO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
372531 Elk City Dialysis Center 1601 West 2nd Elk City OK 6 (Dallas) 11/27/2018 VV0H11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0696 Water Treatment System Techs Training Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0750 Cfc - Governance Condition