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
382586 Deschutes River Dialysis 61280 Se Coombs Place Bend OR 10 (Seattle) 10/01/2024 76L611 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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0506 Immunization/Medication History Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
382587 Kaiser Central Interstate Peritoneal Dialysis Faci 3600 N Interstate Avenue Portland OR 10 (Seattle) 10/31/2024 ZG6W11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
382588 I Home Dialysis Llc 12032 Se Holgate Blvd Portland OR 10 (Seattle) 03/19/2021 IWRR11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0143 Ic - Aseptic Techniques For Iv Meds Standard
382589 Yaquina Bay Dialysis 957 Sw Coast Highway Newport OR 10 (Seattle) 04/10/2025 FQTV11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
382590 Linn Benton Dialysis 3580 Nw Samaritan Drive Corvallis OR 10 (Seattle) 05/28/2025 J2GK11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
382592 Innovative Renal Care Roseburg 171 Nw Medical Loop, Suite 109 Roseburg OR 10 (Seattle) 11/20/2024 7DOD11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
382593 Tillamook Kidney Center, Llc 1000 3rd Street Tillamook OR 10 (Seattle) 06/27/2025 P1SM21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0372 Subdivision Of Building Spaces - Smoke Barrie Standard
K0761 Maintenance, Inspection And Testing - Doors Standard
392300 Geisinger Health System Esrd 100 North Academy Avenue Danville PA 3 (Philadelphia) 08/15/2025 0I6J11 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
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0627 Ongoing, Uses Indicators - Improved Health Outcomes Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0630 Qapi Indicator - Nutritional Status Standard
V0631 Qapi Indicator - Mineral Metabolism/Bone Disease Standard
V0632 Qapi Indicator - Anemia Management Standard
V0633 Qapi Indicator - Vascular Access Standard
V0634 Qapi Indicator - Medical Injuries/Errors Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0639 Prioritizing Improvement Activities Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
392322 Lehigh Valley Hospital Esrd 1200 South Cedar Crest Boulevard Box 689 Allentown PA 3 (Philadelphia) 02/06/2023 B7ER11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0202 Di - Continuous Monitoring Resistivity/Logged 2 X Day Standard
V0255 Microbial Monitoring - Repeat Cultures Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
392327 Upmc Presbyterian 200 Lothrop Street Pittsburgh PA 3 (Philadelphia) 09/06/2018 2PUQ21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0300 Protection - Other Standard
K0311 Vertical Openings - Enclosure Standard
K0321 Hazardous Areas - Enclosure Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0521 Hvac Standard
K0911 Electrical Systems - Other Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard