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
032599 Renal Care Group- Ahwatukee 15930 South 48th Street, Suite 100 Phoenix AZ 9 (San Francisco) 07/11/2019 HNXP11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
032599 Renal Care Group- Ahwatukee 15930 South 48th Street, Suite 100 Phoenix AZ 9 (San Francisco) 08/03/2022 Y72R11 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
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
032601 Palm Brook Dialysis Center 14664 North Del Webb Boulevard Sun City AZ 9 (San Francisco) 10/16/2020 LFS311 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
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0729 Mr - Complete Records Promptly Standard
032601 Palm Brook Dialysis Center 14664 North Del Webb Boulevard Sun City AZ 9 (San Francisco) 06/13/2024 IHZR11 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
V0503 Appropriateness Of Dialysis Rx Standard
032604 Arrowhead Lakes Dialysis Center 20325 North 51st Avenue, Bldg 11, Suite 184 & 186 Glendale AZ 9 (San Francisco) 01/03/2018 LGFJ12 Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment null
V0112 Ic - Cdc Mmwr 2001 null
V0175 Cfc - Water And Dialysate Quality null
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level null
V0196 Carbon Adsorption - Monitoring, Testing Frequency null
V0456 Participate In Care, Discontinue/Refuse Treatment null
V0500 Cfc - Patient Assessment null
V0502 Assess Current Health Status Inc Comorbids null
V0503 Appropriateness Of Dialysis Rx null
V0726 Medical Records - Complete, Accurate, Accessible null
V0751 Identifiable Governing Body W/Full Authority/Responsibility null
032604 Arrowhead Lakes Dialysis Center 20325 North 51st Avenue, Bldg 11, Suite 184 & 186 Glendale AZ 9 (San Francisco) 02/04/2021 JFIN11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0696 Water Treatment System Techs Training Standard
032604 Arrowhead Lakes Dialysis Center 20325 North 51st Avenue, Bldg 11, Suite 184 & 186 Glendale AZ 9 (San Francisco) 04/25/2023 YHFF11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0590 Coordination Of Care By Member Of Idt Standard
032604 Arrowhead Lakes Dialysis Center 20325 North 51st Avenue, Bldg 11, Suite 184 & 186 Glendale AZ 9 (San Francisco) 06/13/2024 9Y1V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0189 Cartridge Filters - Config And Monitoring Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0504 Assess B/P & Fluid Management Needs Standard
032605 Gilbert Dialysis Center 5222 East Baseline Road, Suite 104 Gilbert AZ 9 (San Francisco) 04/06/2018 QEZG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0190 Softeners - Automatically Regenerated/Timers/Salt/Salt Level Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
032605 Gilbert Dialysis Center 5222 East Baseline Road, Suite 104 Gilbert AZ 9 (San Francisco) 03/18/2021 TO0N11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard