S&C QCOR ESRD 2567s
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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
▼ 052835 U S Renal Care Chula Vista Broadway Dialysis 1181 Broadway, Suite 5 Chula Vista CA 9 (San Francisco) 12/16/2021 5HDW11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
▼ 052836 Toiyabe Indian Health Project 44 Tusu Lane Bishop CA 9 (San Francisco) 11/07/2019 HGNU11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0184 Environment: Secure And Restricted Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0510 Msw - Psychosocial Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0540 Cfc: Patient Plan Of Care Condition
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0542 Idt Develops Plan Of Care Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052836 Toiyabe Indian Health Project 44 Tusu Lane Bishop CA 9 (San Francisco) 12/06/2019 F9KR11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
V0752 Appoint Ceo/Administrator Standard
▼ 052836 Toiyabe Indian Health Project 44 Tusu Lane Bishop CA 9 (San Francisco) 12/23/2019 HGNU12 Standard
Deficiency Tag Deficiency Description Tag Type
V0550 Vascular Access - Monitor/Referrals Standard
V0725 Cfc - Medical Records Condition
V0730 Mr - Centralize All Info, Each Member Of Idt Has Access Standard
▼ 052836 Toiyabe Indian Health Project 44 Tusu Lane Bishop CA 9 (San Francisco) 02/20/2020 HGNU13 Standard
Deficiency Tag Deficiency Description Tag Type
V0729 Mr - Complete Records Promptly Standard
▼ 052836 Toiyabe Indian Health Project 44 Tusu Lane Bishop CA 9 (San Francisco) 06/01/2021 8PF411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0191 Softeners - Testing Hardness/Log Standard
V0208 Water Storage And Distribution -Design Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
▼ 052836 Toiyabe Indian Health Project 44 Tusu Lane Bishop CA 9 (San Francisco) 01/11/2023 HIP111 Complaint, Special
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
▼ 052837 U S Renal Care Westside Dialysis 300 South Robertson Blvd Los Angeles CA 9 (San Francisco) 01/17/2018 38L511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0455 Privacy & Confidentiality In Records Standard
V0696 Water Treatment System Techs Training Standard
▼ 052837 U S Renal Care Westside Dialysis 300 South Robertson Blvd Los Angeles CA 9 (San Francisco) 03/15/2018 ROV811 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
▼ 052838 Lompoc Artificial Kidney Center 127 W Pine Avenue Lompoc CA 9 (San Francisco) 01/13/2018 C4GV12 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment null
V0111 Ic - Sanitary Environment null
V0113 Ic - Wear Gloves/Hand Hygiene null
V0114 Ic - Sinks Available null
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected null
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts null
V0121 Ic - Handling Infectious Waste null
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols null
V0126 Ic - Hbv - Vaccinate Patients & Staff null
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose null
V0143 Ic - Aseptic Techniques For Iv Meds null
V0147 Ic - Staff Education Re Catheters/Catheter Care null
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level null
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion null
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu null
V0407 Pe - Hemodialysis Patients In View During Treatments null
V0453 Receive Information In An Understandable Way null
V0503 Appropriateness Of Dialysis Rx null
V0543 Manage Volume Status null
V0544 Achieve Adequate Clearance null
V0546 Manage Mineral Metabolism null
V0550 Vascular Access - Monitor/Referrals null
V0715 Md Resp - Ensure All Adhere To P&P null