S&C QCOR ESRD 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 052515 U.S. Renal Care Los Alamitos Dialysis 3810 Katella Avenue Los Alamitos CA 9 (San Francisco) 07/03/2019 ZNDE11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0003 Establishment Of The Ep Program Dialysis Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0039 Ep Testing Requirements Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0470 Rights Posted With State/Nw Contact #S And Addresses Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052515 U.S. Renal Care Los Alamitos Dialysis 3810 Katella Avenue Los Alamitos CA 9 (San Francisco) 08/15/2019 ZNDE12 Standard
Deficiency Tag Deficiency Description Tag Type
E0026 Roles Under A Waiver Declared By Secretary Standard
E0036 Ep Training And Testing Standard
E0038 Esrd Ep Training Program Standard
E0040 Esrd Patient Orientation Training Standard
▼ 052515 U.S. Renal Care Los Alamitos Dialysis 3810 Katella Avenue Los Alamitos CA 9 (San Francisco) 10/01/2019 D4R311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
▼ 052521 Antelope Valley Dialysis 1759 West Avenue J, #102 Lancaster CA 9 (San Francisco) 02/08/2018 P5Y612 Standard
Deficiency Tag Deficiency Description Tag Type
V0110 Cfc - Infection Control null
V0126 Ic - Hbv - Vaccinate Patients & Staff null
V0143 Ic - Aseptic Techniques For Iv Meds null
V0147 Ic - Staff Education Re Catheters/Catheter Care null
V0400 Cfc - Physical Environment null
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu null
V0407 Pe - Hemodialysis Patients In View During Treatments null
V0411 Nursing Staff Trained In Emergency Equip And Meds null
V0500 Cfc - Patient Assessment null
V0502 Assess Current Health Status Inc Comorbids null
V0503 Appropriateness Of Dialysis Rx null
V0504 Assess B/P & Fluid Management Needs null
V0516 Frequency - Initial: 30 Days/13 Tx null
V0517 F/U Reassessment - Within 3 Months Of Initial null
V0519 Frequency Reassessment - Stable - Annual null
V0520 Frequency Reassessment - Unstable - Monthly null
V0581 Idt Resp - Services Equivalent To In-Center Patients null
V0587 Fac Receive/Review Self Monitoring Data Every 2 Months null
▼ 052521 Antelope Valley Dialysis 1759 West Avenue J, #102 Lancaster CA 9 (San Francisco) 06/20/2019 FLYG12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols null
▼ 052521 Antelope Valley Dialysis 1759 West Avenue J, #102 Lancaster CA 9 (San Francisco) 03/08/2021 1RUP11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052522 Compton Community Hemodialysis 801 West Compton Blvd Compton CA 9 (San Francisco) 01/09/2019 3NM411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0184 Environment: Secure And Restricted Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 052523 Bio Medical Long Beach Comm Hemodialysis Unit 1525 Long Beach Blvd Long Beach CA 9 (San Francisco) 12/05/2019 VUOK11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
▼ 052523 Bio Medical Long Beach Comm Hemodialysis Unit 1525 Long Beach Blvd Long Beach CA 9 (San Francisco) 12/06/2019 RMN011 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
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0502 Assess Current Health Status Inc Comorbids Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0542 Idt Develops Plan Of Care Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0714 Md Resp - Develop, Review& Approve P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052525 Escondido Dialysis 203 E Second Avenue Escondido CA 9 (San Francisco) 01/05/2018 SZ0311 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0547 Manage Anemia/H/H Measured Monthly Standard