S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 382511 Us Renal Care Portland Dialysis 10595 Se Stark Street Portland OR 10 (Seattle) 10/06/2021 W36H12 Standard
Deficiency Tag Deficiency Description Tag Type
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0712 Md Resp - Qapi Program Standard
▼ 382511 Us Renal Care Portland Dialysis 10595 Se Stark Street Portland OR 10 (Seattle) 08/22/2024 E43B11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0506 Immunization/Medication History Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 382512 Fmc Eugene 201 River Avenue Eugene OR 10 (Seattle) 03/07/2018 O73J11 Standard
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0455 Privacy & Confidentiality In Records Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
▼ 382512 Fmc Eugene 201 River Avenue Eugene OR 10 (Seattle) 02/23/2023 OXC211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0559 Outcome Not Achieved - Adjust Poc Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 382513 Redwood Dialysis 201 Sw L Street Grants Pass OR 10 (Seattle) 06/14/2023 DFZY11 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
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0464 Informed - Rules/Expectations Re Patient Conduct Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 382514 Roseburg/Mercy Dialysis 2410 Nw Edenbower Boulevard, Suite 178 Roseburg OR 10 (Seattle) 05/19/2021 7MNG11 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
▼ 382514 Roseburg/Mercy Dialysis 2410 Nw Edenbower Boulevard, Suite 178 Roseburg OR 10 (Seattle) 04/27/2023 D80E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 382514 Roseburg/Mercy Dialysis 2410 Nw Edenbower Boulevard, Suite 178 Roseburg OR 10 (Seattle) 03/13/2025 7XDN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0184 Environment: Secure And Restricted Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0506 Immunization/Medication History Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
▼ 382515 Qualicenters Salem 440 Lancaster Drive Ne Salem OR 10 (Seattle) 02/06/2020 167V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0027 Dialysis Emergency Medical System Assistance Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 382515 Qualicenters Salem 440 Lancaster Drive Ne Salem OR 10 (Seattle) 02/28/2024 1FQV11 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
V0726 Medical Records - Complete, Accurate, Accessible Standard