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
672719 San Angelo Dialysis 3518 Knickerbocker Rd San Angelo TX 6 (Dallas) 10/18/2022 CXYH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
672720 Highland Village Dialysis 2700 Village Parkway Highland Village TX 6 (Dallas) 11/14/2018 JU8U11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
672720 Highland Village Dialysis 2700 Village Parkway Highland Village TX 6 (Dallas) 05/25/2021 GO7211 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
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
672721 Jensen Dialysis 9716 Jensen Drive Houston TX 6 (Dallas) 03/20/2019 HQZ711 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
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0129 Ic - Hbv - Isolation (New Facility) Standard
V0463 Receive Services Outlined In Poc Standard
V0687 Rn/Lpn Charge Supervision Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
672721 Jensen Dialysis 9716 Jensen Drive Houston TX 6 (Dallas) 02/13/2020 T1OZ11 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
V0111 Ic - Sanitary Environment Standard
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
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
672722 Fresenius Medical Care Abilene Lone Star 349 South Danville Drive Abilene TX 6 (Dallas) 02/05/2020 NEXT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
672722 Fresenius Medical Care Abilene Lone Star 349 South Danville Drive Abilene TX 6 (Dallas) 05/08/2024 D4LN11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0243 Bicarb Jugs Rinsed Daily/Stored Dry Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
672723 Central Fort Worth Dialysis 1000 Saint Louis Avenue Suite 101 Fort Worth TX 6 (Dallas) 10/19/2018 IZOT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
672723 Central Fort Worth Dialysis 1000 Saint Louis Avenue Suite 101 Fort Worth TX 6 (Dallas) 07/03/2019 IV9O11 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
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0184 Environment: Secure And Restricted Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
672724 Fresenius Medical Care Chisholm Trail 1900 Scenic Drive,Ste 1128 Georgetown TX 6 (Dallas) 09/03/2021 ME5F11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0503 Appropriateness Of Dialysis Rx Standard