S&C QCOR ESRD 2567s
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ESRDs 2567s
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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
▼ 042592 Little Rock Renal Dialysis 1910 John Barrow Road Little Rock AR 6 (Dallas) 09/19/2019 WGMU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0146 Ic - Catheters; General Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0507 Assess Anemia Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
▼ 042592 Little Rock Renal Dialysis 1910 John Barrow Road Little Rock AR 6 (Dallas) 11/02/2023 022811 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0027 Dialysis Emergency Medical System Assistance Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0543 Manage Volume Status Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0631 Qapi Indicator - Mineral Metabolism/Bone Disease Standard
▼ 042593 Fidelity Home Dialysis Corporation 9421 West Markham Street, Suite B Little Rock AR 6 (Dallas) 05/02/2019 NTXH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0013 Development Of Ep Policies And Procedures Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0260 Personnel - Training Program/Periodic Audits 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
V0513 Transplantation Referral Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0554 Transplantation Status Plan Or Why Not Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
▼ 042593 Fidelity Home Dialysis Corporation 9421 West Markham Street, Suite B Little Rock AR 6 (Dallas) 01/21/2021 WVR711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0033 Methods For Sharing Information Standard
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0543 Manage Volume Status Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 042595 Pocahontas Dialysis 404 Camp Road Pocahontas AR 6 (Dallas) 02/27/2019 9GNV11 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
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0507 Assess Anemia Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 042596 Hidden Springs Dialysis Center 3000 Northwest A Street, Suite 2 Bentonville AR 6 (Dallas) 05/20/2022 5JZL11 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
▼ 042597 Diamond State Dialysis 9022 Landers Road, Suite E North Little Rock AR 6 (Dallas) 06/05/2018 2H5V11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0025 Arrangement With Other Facilities Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
▼ 042597 Diamond State Dialysis 9022 Landers Road, Suite E North Little Rock AR 6 (Dallas) 10/23/2020 K59L11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0132 Ic - Training And Education Standard
V0142 Ic - Oversight: Monitor Activities & Implement Policies 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
V0502 Assess Current Health Status Inc Comorbids Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0545 Effective Nutritional Status Standard
V0546 Manage Mineral Metabolism Standard
V0632 Qapi Indicator - Anemia Management Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0684 Nurse Manager - 12 Mo Rn + 6 Mo Dialysis Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0772 Responds To Nw Requests/Works Toward Goals Standard
▼ 042597 Diamond State Dialysis 9022 Landers Road, Suite E North Little Rock AR 6 (Dallas) 11/23/2021 T2B511 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0038 Esrd Ep Training Program Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0184 Environment: Secure And Restricted 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
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 042597 Diamond State Dialysis 9022 Landers Road, Suite E North Little Rock AR 6 (Dallas) 08/03/2022 T1Y511 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard