S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
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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
▼ 672791 Desoto Regional Dialysis Center Llc 2651 Bolton Boone Drive Bldg B Desoto TX 6 (Dallas) 01/03/2023 W3Q311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 672792 Woodlands Home Therapies 1644 Research Forest Dr, Suite 150 Shenandoah TX 6 (Dallas) 07/12/2019 D1G111 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
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 672796 Coryell Dialysis 224 Memorial Drive Gatesville TX 6 (Dallas) 03/29/2021 VJXD11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
▼ 672796 Coryell Dialysis 224 Memorial Drive Gatesville TX 6 (Dallas) 04/20/2023 IM9Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 672796 Coryell Dialysis 224 Memorial Drive Gatesville TX 6 (Dallas) 02/05/2025 99NX11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0013 Development Of Ep Policies And Procedures Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0182 Equipment-General/Back Up Plan Standard
V0400 Cfc - Physical Environment Condition
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0625 Cfc - Quality Assessment & Performance Improvement Condition
V0628 Measure, Analyze And Track Quality Indicators Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0692 Pct - State Requirements & Hs Diploma Standard
V0710 Cfc - Responsibilities Of The Medical Director Condition
V0712 Md Resp - Qapi Program Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 672796 Coryell Dialysis 224 Memorial Drive Gatesville TX 6 (Dallas) 02/27/2025 BY5F11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0500 Cfc - Patient Assessment Condition
V0503 Appropriateness Of Dialysis Rx Standard
V0511 Dialysis Access Type & Maintenance Standard
▼ 672798 Grants Lake Dialysis 16035 Lexington Blvd Sugar Land TX 6 (Dallas) 05/12/2021 ORQO11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0450 Cfc - Patients' Rights Condition
V0463 Receive Services Outlined In Poc Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 672800 Dialyze Direct Sugarland 16545 Sw Freeway Sugar Land TX 6 (Dallas) 04/11/2019 KSE211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0121 Ic - Handling Infectious Waste Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0687 Rn/Lpn Charge Supervision Standard
V0763 Gb - Informs Medical Staff Of P&P And Qapi Program Standard
▼ 672800 Dialyze Direct Sugarland 16545 Sw Freeway Sugar Land TX 6 (Dallas) 07/28/2021 5S8Z11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0463 Receive Services Outlined In Poc Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 672800 Dialyze Direct Sugarland 16545 Sw Freeway Sugar Land TX 6 (Dallas) 08/30/2023 PFJT11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0598 Plan For Er Back-Up Dialysis Standard
V0628 Measure, Analyze And Track Quality Indicators Standard