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
032625 Raven Dialysis Center 3540 East Baseline Road, Suite 110 Phoenix AZ 9 (San Francisco) 09/02/2020 24DS11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0766 Gb & Med Dir Ensure All Staff Follow Disch/Transfer P&P Standard
032625 Raven Dialysis Center 3540 East Baseline Road, Suite 110 Phoenix AZ 9 (San Francisco) 05/21/2023 MTJZ21 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Memo
K0131 Multiple Occupancies Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0754 Soiled Linen And Trash Containers Standard
032625 Raven Dialysis Center 3540 East Baseline Road, Suite 110 Phoenix AZ 9 (San Francisco) 05/23/2023 MTJZ11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0110 Cfc - Infection Control Condition
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0502 Assess Current Health Status Inc Comorbids Standard
032626 Fresenius Medical Care - Midvale Park 1430 West Valencia Road, Suite 1 Tucson AZ 9 (San Francisco) 09/27/2019 D24Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0456 Participate In Care, Discontinue/Refuse Treatment Standard
032626 Fresenius Medical Care - Midvale Park 1430 West Valencia Road, Suite 1 Tucson AZ 9 (San Francisco) 07/20/2020 CSBO11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0589 Monitor Home Adaptation,Home Visits - Poc Standard
032626 Fresenius Medical Care - Midvale Park 1430 West Valencia Road, Suite 1 Tucson AZ 9 (San Francisco) 07/20/2020 CSBO21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0511 Utilities - Gas And Electric Standard
K0712 Fire Drills Standard
K0918 Electrical Systems - Essential Electric Syste Standard
K0920 Electrical Equipment - Power Cords And Extens Standard
032626 Fresenius Medical Care - Midvale Park 1430 West Valencia Road, Suite 1 Tucson AZ 9 (San Francisco) 01/20/2023 6ZS311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
032626 Fresenius Medical Care - Midvale Park 1430 West Valencia Road, Suite 1 Tucson AZ 9 (San Francisco) 09/20/2023 ZC9E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0508 Assess Renal Bone Disease Standard
032627 Tucson Central Dialysis 2901 East Grant Road Tucson AZ 9 (San Francisco) 01/25/2018 MT7611 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
V0502 Assess Current Health Status Inc Comorbids Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
032627 Tucson Central Dialysis 2901 East Grant Road Tucson AZ 9 (San Francisco) 02/24/2021 IO4511 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
V0112 Ic - Cdc Mmwr 2001 Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0146 Ic - Catheters; General Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard