S&C QCOR ESRD 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ESRDs 2567s
Selection Criteria

Time Interval

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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
052565 Silverado Dialysis 1100 Trancas St, Ste 266 & 267 Napa CA 9 (San Francisco) 03/26/2019 C5U711 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
V0132 Ic - Training And Education Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0404 Pe - Patient Care Environment - Sufficient Space Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0543 Manage Volume Status Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
052568 Pleasanton Dialysis Center 5720 Stoneridge Mall Road Suite 160 Pleasanton CA 9 (San Francisco) 10/02/2018 1ZHS11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0452 Respect & Dignity Standard
052568 Pleasanton Dialysis Center 5720 Stoneridge Mall Road Suite 160 Pleasanton CA 9 (San Francisco) 05/03/2019 0N3911 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
V0111 Ic - Sanitary Environment Standard
V0112 Ic - Cdc Mmwr 2001 Standard
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
052568 Pleasanton Dialysis Center 5720 Stoneridge Mall Road Suite 160 Pleasanton CA 9 (San Francisco) 09/03/2021 8I3H11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
052569 South Sacramento Dialysis Center 8275 Bruceville Road Sacramento CA 9 (San Francisco) 12/07/2023 8I2K11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0727 Mr - Protect Patient Records From Loss/Keep Confidential Standard
052571 Union City Dialysis Center 32930 Alvarado Niles Road, Suite 300 Union City CA 9 (San Francisco) 10/29/2020 VPNH11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0142 Ic - Oversight: Monitor Activities & Implement Policies Standard
052571 Union City Dialysis Center 32930 Alvarado Niles Road, Suite 300 Union City CA 9 (San Francisco) 11/01/2023 4QHI11 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
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0544 Achieve Adequate Clearance Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
052572 Satellite Healthcare East San Jose 2121 Alexian Drive, Suite 100 San Jose CA 9 (San Francisco) 06/21/2022 QM8711 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0716 Md Resp - Ensure Involuntary Discharge P&P Followed Standard
052574 Downey Dialysis Ctr 9041 Imperial Hwy Downey CA 9 (San Francisco) 08/30/2019 HKB111 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
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
V0407 Pe - Hemodialysis Patients In View During Treatments 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
V0676 Clia Labs/Meet Needs Of Patients Standard
052575 Rai - North Waterman - San Bernardino 1500 North Waterman Avenue San Bernardino CA 9 (San Francisco) 01/25/2018 HQ1O12 Standard
Deficiency Tag Deficiency Description Tag Type
E0013 Development Of Ep Policies And Procedures null
E0020 Policies For Evac. And Primary/Alt. Comm. null
E0028 Dialysis Emergency Equipment null
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment null
V0114 Ic - Sinks Available null
V0126 Ic - Hbv - Vaccinate Patients & Staff null
V0400 Cfc - Physical Environment null
V0401 Pe - Safe, Functional, Comfortable Environment null
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu null
V0500 Cfc - Patient Assessment null
V0504 Assess B/P & Fluid Management Needs null
V0625 Cfc - Quality Assessment & Performance Improvement null
V0628 Measure, Analyze And Track Quality Indicators null