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
▼ 742541 Roadrunner Dialysis 5010 Wiseman Blvd San Antonio TX 6 (Dallas) 08/05/2021 KAM511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
▼ 742543 One On One Kidney Care 4300 Fairmont Pkwy, Ste 100 Pasadena TX 6 (Dallas) 05/09/2019 CLO711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0013 Development Of Ep Policies And Procedures Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 742544 Dialyspa The Heights 1411 Bonner St Houston TX 6 (Dallas) 05/30/2019 V8RZ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0030 Names And Contact Information Standard
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0713 Md Resp - Staff Ed, Training & Performance Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 742545 Post Oak Dialysis 4751 West Fuqua St Houston TX 6 (Dallas) 06/13/2019 8HCC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 742546 Lower Greenville Dialysis 4405 Ross Avenue Dallas TX 6 (Dallas) 06/12/2019 5RDN11 Standard
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
V0121 Ic - Handling Infectious Waste Standard
▼ 742546 Lower Greenville Dialysis 4405 Ross Avenue Dallas TX 6 (Dallas) 11/03/2021 OL1Y11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 742547 Five Points Dialysis 2929 Montana Ave El Paso TX 6 (Dallas) 06/18/2019 3S5H11 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
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 742552 Fallbrook Dialysis 11321 Fallbrook Drive Houston TX 6 (Dallas) 08/30/2023 S3Z511 Complaint, 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 742554 Luxury Dialycare, Pllc 600 N Kobayashi Rd, Suite 108 Webster TX 6 (Dallas) 10/24/2019 YU5911 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
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0463 Receive Services Outlined In Poc Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0583 Training Provided By Certified Home Training Facility Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0760 Gb - Responsible For Staff Oriented To Facility & Resp Standard
▼ 742554 Luxury Dialycare, Pllc 600 N Kobayashi Rd, Suite 108 Webster TX 6 (Dallas) 02/22/2022 JR2111 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
V0111 Ic - Sanitary Environment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0500 Cfc - Patient Assessment Condition
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0510 Msw - Psychosocial Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0540 Cfc: Patient Plan Of Care Condition
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0580 Cfc: Care At Home Condition
V0584 Training Conducted By Qualified Rn Standard
V0585 Training Content Including Emergency Prep For Home Pts Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0692 Pct - State Requirements & Hs Diploma Standard
V0761 Staff Have Access To Continuing Education Standard