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
672625 Magnolia Dialysis Center 17649 Fm 1488 Rd Magnolia TX 6 (Dallas) 07/08/2025 8ZH411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0013 Development Of Ep Policies And Procedures Standard
E0028 Dialysis Emergency Equipment Standard
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
V0114 Ic - Sinks Available 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0219 Bacterial Control - Disinfect Monthly/Disinfection Dwell Standard
V0222 Acid Bulk Storage Tanks - Safety Controls Standard
V0228 Mixing Systems - Labeling Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0451 Patients Informed Of Rights When Begin Treatment Standard
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
672626 Elik Dialysis Home Therapy Memorial, Inc 1445 North Loop West, Suite 720 Houston TX 6 (Dallas) 03/01/2018 1IOS11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0763 Gb - Informs Medical Staff Of P&P And Qapi Program Standard
672626 Elik Dialysis Home Therapy Memorial, Inc 1445 North Loop West, Suite 720 Houston TX 6 (Dallas) 01/15/2020 ZBOC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
672626 Elik Dialysis Home Therapy Memorial, Inc 1445 North Loop West, Suite 720 Houston TX 6 (Dallas) 08/05/2021 Z5L211 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
672626 Elik Dialysis Home Therapy Memorial, Inc 1445 North Loop West, Suite 720 Houston TX 6 (Dallas) 04/04/2024 QD0I11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0585 Training Content Including Emergency Prep For Home Pts Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
672626 Elik Dialysis Home Therapy Memorial, Inc 1445 North Loop West, Suite 720 Houston TX 6 (Dallas) 08/20/2025 4B4M11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0542 Idt Develops Plan Of Care Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
672629 Fmc Moody Park Dialysis 2920 Fulton St Houston TX 6 (Dallas) 02/14/2019 00D511 Complaint, 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
672632 Davita Central Dallas Dialysis 9500 North Central Expressway Suite 102 Dallas TX 6 (Dallas) 01/17/2024 MJZO11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0226 Mixing Sys - Follow Dfu/Monitor/Pm/Log/Sanitization Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
672635 Duncanville Dialysis 270 E Hwy 67 Suite 100 Duncanville TX 6 (Dallas) 04/20/2018 DX2711 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
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0309 Training Documentation Includes Med Dir Certification Standard
V0454 Privacy & Confidentiality In Treatment Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
672636 Plano Dialysis Center 481 Shiloh Rd Plano TX 6 (Dallas) 02/08/2021 TD0611 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard