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
042510 Rcg Helena 108 D'Anna Place, Hwy 49 Bypass Helena AR 6 (Dallas) 01/12/2018 235K11 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
V0175 Cfc - Water And Dialysate Quality Condition
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0228 Mixing Systems - Labeling Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
042510 Rcg Helena 108 D'Anna Place, Hwy 49 Bypass Helena AR 6 (Dallas) 02/18/2022 JVHY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
042512 Degray Dialysis 312 Professional Park Drive, Suite H Arkadelphia AR 6 (Dallas) 05/03/2018 VW5A11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
042513 Springhill Dialysis 3401 Springhill Drive Suite 190 North Little Rock AR 6 (Dallas) 01/09/2018 RLSL22 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Memo
K0345 Fire Alarm System - Testing And Maintenance null
K0353 Sprinkler System - Maintenance And Testing null
K0355 Portable Fire Extinguishers null
K0712 Fire Drills null
042513 Springhill Dialysis 3401 Springhill Drive Suite 190 North Little Rock AR 6 (Dallas) 01/12/2018 RLSL12 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
V0111 Ic - Sanitary Environment null
V0113 Ic - Wear Gloves/Hand Hygiene null
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area null
V0196 Carbon Adsorption - Monitoring, Testing Frequency null
V0260 Personnel - Training Program/Periodic Audits null
V0507 Assess Anemia null
V0520 Frequency Reassessment - Unstable - Monthly null
V0544 Achieve Adequate Clearance null
V0547 Manage Anemia/H/H Measured Monthly null
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment null
V0730 Mr - Centralize All Info, Each Member Of Idt Has Access null
042513 Springhill Dialysis 3401 Springhill Drive Suite 190 North Little Rock AR 6 (Dallas) 07/06/2018 CTE811 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0511 Dialysis Access Type & Maintenance Standard
V0543 Manage Volume Status Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
042513 Springhill Dialysis 3401 Springhill Drive Suite 190 North Little Rock AR 6 (Dallas) 02/14/2019 S93X11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
042513 Springhill Dialysis 3401 Springhill Drive Suite 190 North Little Rock AR 6 (Dallas) 09/24/2021 4OBE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0543 Manage Volume Status Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
042514 Searcy Dialysis 3208 Langley Drive Searcy AR 6 (Dallas) 06/09/2021 UK5E11 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0503 Appropriateness Of Dialysis Rx Standard
042514 Searcy Dialysis 3208 Langley Drive Searcy AR 6 (Dallas) 02/16/2023 3ZER11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0197 Carbon Adsorption - Action If First Test Positive Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0230 Mixing Systems - Cleaning 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
V0504 Assess B/P & Fluid Management Needs Standard