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
382545 Us Renal Care Tillamook Dialysis 1000 Third Street Tillamook OR 10 (Seattle) 08/03/2023 10KT11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
382545 Us Renal Care Tillamook Dialysis 1000 Third Street Tillamook OR 10 (Seattle) 08/28/2023 10KT21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0293 Exit Signage Standard
K0712 Fire Drills Standard
K0918 Electrical Systems - Essential Electric Syste Standard
382546 Sherwood Dialysis Center 21035 Sw Pacific Highway Sherwood OR 10 (Seattle) 08/22/2019 9OO111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
382547 Us Renal Care East Portland Home Dialysis 10802 Se Washington Street Portland OR 10 (Seattle) 05/30/2018 4NF111 Standard
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
382547 Us Renal Care East Portland Home Dialysis 10802 Se Washington Street Portland OR 10 (Seattle) 01/25/2024 P3N711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
382548 Pnrs Newberg Dialysis Center 3100 Hayworth Avenue, Suite 1000 Newberg OR 10 (Seattle) 02/28/2019 1FPW11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0466 Informed - External Grievance Processes Standard
V0503 Appropriateness Of Dialysis Rx Standard
382549 Meridian Park Dialysis Center 19255 Sw 65th Avenue, Suite 100 Tualatin OR 10 (Seattle) 01/30/2019 UOU911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
382549 Meridian Park Dialysis Center 19255 Sw 65th Avenue, Suite 100 Tualatin OR 10 (Seattle) 04/14/2022 UKJI11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0132 Ic - Training And Education Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
382549 Meridian Park Dialysis Center 19255 Sw 65th Avenue, Suite 100 Tualatin OR 10 (Seattle) 01/06/2025 I03411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0213 Dist Sys - Culture/Lal/Sample Sites/Frequency(New)/Log Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0506 Immunization/Medication History Standard
V0580 Cfc: Care At Home Condition
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0750 Cfc - Governance Condition
382549 Meridian Park Dialysis Center 19255 Sw 65th Avenue, Suite 100 Tualatin OR 10 (Seattle) 04/24/2025 I03412 Standard
Deficiency Tag Deficiency Description Tag Type
V0114 Ic - Sinks Available Standard