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
672879 Dialyspa Sugar Land 13444 Southwest Fwy, Ste 1b Sugar Land TX 6 (Dallas) 08/30/2018 OZH111 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
672879 Dialyspa Sugar Land 13444 Southwest Fwy, Ste 1b Sugar Land TX 6 (Dallas) 07/23/2019 9L1R11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0750 Cfc - Governance Condition
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
672880 Dialyspa Pearland 9223 W Broadway Street, #109 Pearland TX 6 (Dallas) 08/30/2018 TF8U11 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
672881 Fresenius Kidney Care Northside Dialysis 235 Fm 1960 Rd W, Suite 235c Houston TX 6 (Dallas) 09/11/2018 PJMJ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0453 Receive Information In An Understandable Way Standard
V0626 Covers Scope Of Services/Effective/Idt Involved Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0763 Gb - Informs Medical Staff Of P&P And Qapi Program Standard
672881 Fresenius Kidney Care Northside Dialysis 235 Fm 1960 Rd W, Suite 235c Houston TX 6 (Dallas) 12/13/2022 DW3211 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
V0766 Gb & Med Dir Ensure All Staff Follow Disch/Transfer P&P Standard
672881 Fresenius Kidney Care Northside Dialysis 235 Fm 1960 Rd W, Suite 235c Houston TX 6 (Dallas) 12/05/2024 F12B11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
672883 I Dialysis Llc 8760 Us Hwy 59 South Nacogdoches TX 6 (Dallas) 09/11/2018 SXU511 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0510 Msw - Psychosocial Needs Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0762 Gb - Responsible For Medical Staff Credentialing Standard
672883 I Dialysis Llc 8760 Us Hwy 59 South Nacogdoches TX 6 (Dallas) 10/15/2019 MBBL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0580 Cfc: Care At Home Condition
V0584 Training Conducted By Qualified Rn Standard
V0585 Training Content Including Emergency Prep For Home Pts Standard
V0586 Pt/Caregiver Demonstrated Comprehension Of Training Standard
672883 I Dialysis Llc 8760 Us Hwy 59 South Nacogdoches TX 6 (Dallas) 08/23/2023 OFCC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0500 Cfc - Patient Assessment Condition
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0540 Cfc: Patient Plan Of Care Condition
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
672885 Apex Dialysis Center 6514 Highway 90a, Suite 103 Sugar Land TX 6 (Dallas) 09/20/2018 OYXO11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0463 Receive Services Outlined In Poc Standard
V0712 Md Resp - Qapi Program Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard