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
▼ 672739 Crosstimbers Dialysis 4400 North Freeway, Suite 100 Houston TX 6 (Dallas) 07/14/2022 5SHE11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
V0750 Cfc - Governance Condition
V0754 Adm Resp For Fiscal Operations Standard
V0757 Staff # & Ratio Meet Patient Needs Standard
▼ 672739 Crosstimbers Dialysis 4400 North Freeway, Suite 100 Houston TX 6 (Dallas) 10/20/2022 5SHE12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0463 Receive Services Outlined In Poc Standard
▼ 672739 Crosstimbers Dialysis 4400 North Freeway, Suite 100 Houston TX 6 (Dallas) 06/14/2023 HF1D11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
▼ 672740 Us Renal Care Premier Dialysis Richardson 1621 North Central Expressway Suite 200 Richardson TX 6 (Dallas) 07/18/2022 BJUC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0400 Cfc - Physical Environment Condition
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 672741 Renal Center Of Keller Llc 10708 Victoria Ash Drive Fort Worth TX 6 (Dallas) 05/26/2023 DULV11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
E0038 Esrd Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
▼ 672741 Renal Center Of Keller Llc 10708 Victoria Ash Drive Fort Worth TX 6 (Dallas) 07/19/2023 ENRX11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0680 Cfc - Personnel Qualifications Condition
V0692 Pct - State Requirements & Hs Diploma Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
▼ 672742 Us Renal Care South San Antono Dialysis 137 Palo Alto Road San Antonio TX 6 (Dallas) 07/25/2018 NZOQ11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0130 Ic - Hbv - Isolation Of Machines/Equipment/Supplies Standard
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
▼ 672742 Us Renal Care South San Antono Dialysis 137 Palo Alto Road San Antonio TX 6 (Dallas) 10/07/2021 O3H411 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0750 Cfc - Governance Condition
V0759 Rn Present At All Times Standard
▼ 672743 Us Renal Care Tarrant Dialysis Keller 4420 Heritage Trace Parkway Suite 312 Fort Worth TX 6 (Dallas) 02/07/2024 84F811 Complaint, 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
V0504 Assess B/P & Fluid Management Needs Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
▼ 672744 Liberty Dialysis- Huntsville 540 Interstate 45 South Huntsville TX 6 (Dallas) 07/17/2019 OINQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0750 Cfc - Governance Condition
V0757 Staff # & Ratio Meet Patient Needs Standard