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
032620 Grand Home Dialysis 14671 West Mountain View Blvd, Ste 106 Surprise AZ 9 (San Francisco) 04/12/2018 309611 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
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
032620 Grand Home Dialysis 14671 West Mountain View Blvd, Ste 106 Surprise AZ 9 (San Francisco) 07/11/2024 G3DX11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0729 Mr - Complete Records Promptly Standard
032621 Westbrook Dialysis Center 13907 West Camino Del Sol, Suite 103 Sun City West AZ 9 (San Francisco) 05/08/2018 2O8S11 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0511 Dialysis Access Type & Maintenance Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
032621 Westbrook Dialysis Center 13907 West Camino Del Sol, Suite 103 Sun City West AZ 9 (San Francisco) 03/15/2021 4JZB11 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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0729 Mr - Complete Records Promptly Standard
032622 Fresenius Medical Care - Goodyear 500 North Bullard Avenue, C34 Goodyear AZ 9 (San Francisco) 10/17/2019 G4E611 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs Standard
V0542 Idt Develops Plan Of Care Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
032622 Fresenius Medical Care - Goodyear 500 North Bullard Avenue, C34 Goodyear AZ 9 (San Francisco) 11/22/2022 0TH011 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
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
032622 Fresenius Medical Care - Goodyear 500 North Bullard Avenue, C34 Goodyear AZ 9 (San Francisco) 01/09/2024 A6WC11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
032624 Central Mesa Dialysis Center 1134 East University Drive, Suite 101 Mesa AZ 9 (San Francisco) 10/01/2019 9GZ511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
032624 Central Mesa Dialysis Center 1134 East University Drive, Suite 101 Mesa AZ 9 (San Francisco) 02/26/2021 818N11 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
V0453 Receive Information In An Understandable Way Standard
V0504 Assess B/P & Fluid Management Needs Standard
032624 Central Mesa Dialysis Center 1134 East University Drive, Suite 101 Mesa AZ 9 (San Francisco) 02/29/2024 NXFD11 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
V0463 Receive Services Outlined In Poc Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard