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
032518 Chinle Dialysis Facility Us Highway 191 Chinle AZ 9 (San Francisco) 09/07/2024 69AP11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0007 Ep Program Patient Population Standard
E0032 Primary/Alternate Means For Communication Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
032520 Sierra Vista Dialysis 629 North Highway 90 Byp, Suite 6 Sierra Vista AZ 9 (San Francisco) 08/27/2020 6NG711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0146 Ic - Catheters; General Standard
V0184 Environment: Secure And Restricted Standard
V0543 Manage Volume Status Standard
032520 Sierra Vista Dialysis 629 North Highway 90 Byp, Suite 6 Sierra Vista AZ 9 (San Francisco) 08/01/2023 DXRY11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0260 Personnel - Training Program/Periodic Audits Standard
032520 Sierra Vista Dialysis 629 North Highway 90 Byp, Suite 6 Sierra Vista AZ 9 (San Francisco) 02/24/2025 G2Z011 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0767 Involuntary Discharge Process Requirements Standard
032521 Fmc Dialysis Services Glendale 5957 West Northern Avenue, Suite 108 Glendale AZ 9 (San Francisco) 11/21/2019 WDNG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
032521 Fmc Dialysis Services Glendale 5957 West Northern Avenue, Suite 108 Glendale AZ 9 (San Francisco) 08/26/2020 UC5H11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
032521 Fmc Dialysis Services Glendale 5957 West Northern Avenue, Suite 108 Glendale AZ 9 (San Francisco) 01/12/2023 HWML21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0211 Means Of Egress - General Standard
K0521 Hvac Standard
K0920 Electrical Equipment - Power Cords And Extens Standard
032521 Fmc Dialysis Services Glendale 5957 West Northern Avenue, Suite 108 Glendale AZ 9 (San Francisco) 01/12/2023 HWML11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0146 Ic - Catheters; General Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0463 Receive Services Outlined In Poc Standard
V0509 Rd - Nutritional Status Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
032521 Fmc Dialysis Services Glendale 5957 West Northern Avenue, Suite 108 Glendale AZ 9 (San Francisco) 12/17/2025 7JDH11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0405 Pe - Comfortable Temperature Standard
V0463 Receive Services Outlined In Poc Standard
V0504 Assess B/P & Fluid Management Needs Standard
032522 Bma Parker Dialysis Center 12205 Kennedy Drive Parker AZ 9 (San Francisco) 09/11/2020 Q5SE11 Special, 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
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0503 Appropriateness Of Dialysis Rx Standard