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
032636 U S Renal Care Flagstaff Dialysis 2268 North Walgreens Street Flagstaff AZ 9 (San Francisco) 05/25/2018 X0SJ11 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
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0510 Msw - Psychosocial Needs Standard
V0560 Patients Seen By Med Staff Member Monthly Standard
032636 U S Renal Care Flagstaff Dialysis 2268 North Walgreens Street Flagstaff AZ 9 (San Francisco) 07/15/2021 4VE111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0504 Assess B/P & Fluid Management Needs Standard
032637 Wickenburg Dialysis 811 North Tegner Street, Suites 101, 103, 105, 107 Wickenburg AZ 9 (San Francisco) 02/19/2021 IF1W11 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
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0504 Assess B/P & Fluid Management Needs Standard
032637 Wickenburg Dialysis 811 North Tegner Street, Suites 101, 103, 105, 107 Wickenburg AZ 9 (San Francisco) 05/10/2021 K0XQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0693 Pct - Complete Training Program Standard
032637 Wickenburg Dialysis 811 North Tegner Street, Suites 101, 103, 105, 107 Wickenburg AZ 9 (San Francisco) 03/06/2024 92OC11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0417 Pe-Fire Safety-Life Safety Code Standard
V0509 Rd - Nutritional Status Standard
V0510 Msw - Psychosocial Needs Standard
032638 Power Road Dialysis 301 South Power Road, Suite 104 Mesa AZ 9 (San Francisco) 01/21/2022 1LCM11 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
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0511 Dialysis Access Type & Maintenance Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
032639 Estrella Mountain Dialysis, Llc 9250 West Thomas Road, Suite 120 Phoenix AZ 9 (San Francisco) 02/15/2019 KW4L11 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
V0114 Ic - Sinks Available Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
032639 Estrella Mountain Dialysis, Llc 9250 West Thomas Road, Suite 120 Phoenix AZ 9 (San Francisco) 09/13/2019 CXOT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0551 Va Monitor To Prevent Failure/Stenosis Standard
V0765 Internal Grievance Process Components & Implemented Standard
032639 Estrella Mountain Dialysis, Llc 9250 West Thomas Road, Suite 120 Phoenix AZ 9 (San Francisco) 02/03/2022 0MTS11 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
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
032639 Estrella Mountain Dialysis, Llc 9250 West Thomas Road, Suite 120 Phoenix AZ 9 (San Francisco) 07/09/2025 2DGS11 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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0463 Receive Services Outlined In Poc Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard