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
032612 Estrella Dialysis Center 8410 West Thomas Road, Building 1, Suite 100 Phoenix AZ 9 (San Francisco) 05/15/2024 4VB011 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0729 Mr - Complete Records Promptly Standard
V0758 Rn, Msw, & Rd Available To Meet Patient Needs Standard
032613 Bio-Medical Applications Of Arizona, Llc 6261 North La Cholla Boulevard, Suite 181 Tucson AZ 9 (San Francisco) 09/06/2019 NRRZ11 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
V0112 Ic - Cdc Mmwr 2001 Standard
V0146 Ic - Catheters; General Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
032613 Bio-Medical Applications Of Arizona, Llc 6261 North La Cholla Boulevard, Suite 181 Tucson AZ 9 (San Francisco) 01/20/2022 9KDZ11 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
V0463 Receive Services Outlined In Poc Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
032613 Bio-Medical Applications Of Arizona, Llc 6261 North La Cholla Boulevard, Suite 181 Tucson AZ 9 (San Francisco) 06/10/2025 MFJV11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0767 Involuntary Discharge Process Requirements Standard
032614 Douglas Dialysis Center 99 16th Street Douglas AZ 9 (San Francisco) 07/18/2019 794M11 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
V0713 Md Resp - Staff Ed, Training & Performance Standard
032614 Douglas Dialysis Center 99 16th Street Douglas AZ 9 (San Francisco) 04/09/2021 FKS911 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
V0504 Assess B/P & Fluid Management Needs Standard
V0544 Achieve Adequate Clearance Standard
032614 Douglas Dialysis Center 99 16th Street Douglas AZ 9 (San Francisco) 07/17/2024 3KHF11 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
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
032615 Rim Country Dialysis 809 West Longhorn Road Payson AZ 9 (San Francisco) 06/17/2021 ZSUB11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0146 Ic - Catheters; General 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
V0542 Idt Develops Plan Of Care Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
032616 Desert Dialysis Sahuarita 1700 West Commerce Point Place Sahuarita AZ 9 (San Francisco) 06/09/2022 GKO911 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0273 Ch/Chl Breakthrough - Action Equal Correction Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0510 Msw - Psychosocial Needs Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0562 Patient/Family Education & Training Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0691 Social Worker - Msw; Grandfather Only If Hired Before 1976 Standard
032616 Desert Dialysis Sahuarita 1700 West Commerce Point Place Sahuarita AZ 9 (San Francisco) 05/28/2025 GI5511 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
V0726 Medical Records - Complete, Accurate, Accessible Standard