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
032609 Tempe Dialysis Center 2149 East Warner Road, Suite 110 Tempe AZ 9 (San Francisco) 05/24/2024 CZVC11 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0729 Mr - Complete Records Promptly Standard
032610 Renal Care Group Southeast Valley 22715 South Ellsworth Road, Building D Queen Creek AZ 9 (San Francisco) 02/26/2021 HY4G11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0504 Assess B/P & Fluid Management Needs Standard
032610 Renal Care Group Southeast Valley 22715 South Ellsworth Road, Building D Queen Creek AZ 9 (San Francisco) 02/28/2024 IZLQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0030 Names And Contact Information Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0463 Receive Services Outlined In Poc Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
032611 Phoenix Dialysis Center 337 East Coronado Road, Suite 101 Phoenix AZ 9 (San Francisco) 08/15/2018 DKWS11 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
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
032611 Phoenix Dialysis Center 337 East Coronado Road, Suite 101 Phoenix AZ 9 (San Francisco) 03/01/2021 KBHC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
V0767 Involuntary Discharge Process Requirements Standard
032611 Phoenix Dialysis Center 337 East Coronado Road, Suite 101 Phoenix AZ 9 (San Francisco) 03/01/2021 7KJI11 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
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0452 Respect & Dignity Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0767 Involuntary Discharge Process Requirements Standard
032611 Phoenix Dialysis Center 337 East Coronado Road, Suite 101 Phoenix AZ 9 (San Francisco) 04/17/2024 EPI511 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
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety 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
032612 Estrella Dialysis Center 8410 West Thomas Road, Building 1, Suite 100 Phoenix AZ 9 (San Francisco) 07/02/2018 OKJ811 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0146 Ic - Catheters; General Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
032612 Estrella Dialysis Center 8410 West Thomas Road, Building 1, Suite 100 Phoenix AZ 9 (San Francisco) 01/16/2019 Q55D11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
032612 Estrella Dialysis Center 8410 West Thomas Road, Building 1, Suite 100 Phoenix AZ 9 (San Francisco) 03/29/2021 C81K11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0453 Receive Information In An Understandable Way Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard