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
052576 Fresenius Medical Care Balboa - Kearny Mesa 7927 Ostrow Street, Suite A San Diego CA 9 (San Francisco) 02/21/2023 5DS711 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0543 Manage Volume Status Standard
052579 Conejo Valley Renal Center 227 W Janss Rd Ste 115 Thousand Oaks CA 9 (San Francisco) 04/06/2018 90KQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0040 Esrd Patient Orientation Training 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
V0121 Ic - Handling Infectious Waste Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0200 Ro - Monitor/Alarm/Prevent Use Of Unsafe Water Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0453 Receive Information In An Understandable Way Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0546 Manage Mineral Metabolism Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0550 Vascular Access - Monitor/Referrals Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
052580 Covina Dialysis Ctr 1547 W Garvey Ave West Covina CA 9 (San Francisco) 10/11/2023 NVY211 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0132 Ic - Training And Education Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0681 Staff Licensed As Req/Qualified/Demonstrate Competencies Standard
V0693 Pct - Complete Training Program Standard
052581 U S Renal Care Gardena Dialysis 1045 West Redondo Beach Blvd, Suite #105 Gardena CA 9 (San Francisco) 01/25/2018 TFU911 Standard
Deficiency Tag Deficiency Description Tag Type
E0013 Development Of Ep Policies And Procedures Standard
E0038 Esrd Ep Training Program Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard
052581 U S Renal Care Gardena Dialysis 1045 West Redondo Beach Blvd, Suite #105 Gardena CA 9 (San Francisco) 02/21/2018 4GDO12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0504 Assess B/P & Fluid Management Needs null
V0543 Manage Volume Status null
V0544 Achieve Adequate Clearance null
052581 U S Renal Care Gardena Dialysis 1045 West Redondo Beach Blvd, Suite #105 Gardena CA 9 (San Francisco) 05/07/2018 6OBL11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
052581 U S Renal Care Gardena Dialysis 1045 West Redondo Beach Blvd, Suite #105 Gardena CA 9 (San Francisco) 12/19/2018 5P4N12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0726 Medical Records - Complete, Accurate, Accessible null
052583 U S Renal Care Monterey Dialysis 2066 North Fremont Street Monterey CA 9 (San Francisco) 05/23/2019 DHY111 Standard
Deficiency Tag Deficiency Description Tag Type
E0028 Dialysis Emergency Equipment Standard
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
V0116 Ic - Items Taken To Station Disposed/Dedicated Or Disinfected Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0229 Mixing Systems - Permanent Record/Verification Testing Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
V0629 Qapi Indicator - Adequacy Of Dialysis Standard
V0637 Qapi Indicator - Infection Control - Trend/Plan/Act Standard
V0688 Staff Nurse - Meet State Requirements Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0752 Appoint Ceo/Administrator Standard
052583 U S Renal Care Monterey Dialysis 2066 North Fremont Street Monterey CA 9 (San Francisco) 07/25/2022 VTAT11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
052584 Merced Dialysis 3393 G Street Ste A Merced CA 9 (San Francisco) 05/02/2019 DI2I11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0503 Appropriateness Of Dialysis Rx Standard