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
▼ 052695 Los Angeles Dialysis Center 3901 South Western Ave Los Angeles CA 9 (San Francisco) 08/22/2018 EKY611 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0178 Bacteriology Of Water-Maximum And Action Levels Standard
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion Standard
V0233 Bicarb Mixing Sys - Storage/Use Time Limits/Min Combine Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0520 Frequency Reassessment - Unstable - Monthly Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 052696 Visalia Dialysis 5429 W Cypress Ave Visalia CA 9 (San Francisco) 07/17/2019 X9GY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0036 Ep Training And Testing Standard
E0040 Esrd Patient Orientation Training Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0101 Compliance With Fed/State/Local Laws Standard
V0111 Ic - Sanitary Environment Standard
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene 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
V0401 Pe - Safe, Functional, Comfortable Environment Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0417 Pe-Fire Safety-Life Safety Code Standard
V0452 Respect & Dignity Standard
V0465 Informed - Internal Grievance Process Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0542 Idt Develops Plan Of Care Standard
V0544 Achieve Adequate Clearance Standard
V0546 Manage Mineral Metabolism Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0676 Clia Labs/Meet Needs Of Patients Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 052696 Visalia Dialysis 5429 W Cypress Ave Visalia CA 9 (San Francisco) 12/08/2020 XGMI11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0751 Identifiable Governing Body W/Full Authority/Responsibility Standard
▼ 052696 Visalia Dialysis 5429 W Cypress Ave Visalia CA 9 (San Francisco) 12/21/2020 GJKS11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 052699 High Desert Dialysis Inc 1007 West Ave M-14 #B Palmdale CA 9 (San Francisco) 10/09/2019 3D3811 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0111 Ic - Sanitary Environment Standard
V0112 Ic - Cdc Mmwr 2001 Standard
V0113 Ic - Wear Gloves/Hand Hygiene Standard
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
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0199 Ro - Meets Aami/Monitored, Recorded On Log Standard
V0260 Personnel - Training Program/Periodic Audits Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu 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
▼ 052700 Monterey Park Dialysis Center 2560 Corporate Plce Bldg D Ste 100 Monterey Park CA 9 (San Francisco) 09/05/2018 YLQB11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0231 Acid Conc Mixing Sys - Empty Completely//Prevent Corrosion Standard
V0233 Bicarb Mixing Sys - Storage/Use Time Limits/Min Combine Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 052701 U S Renal Care Earl Street Dialysis 20911 Earl Street, #160 Torrance CA 9 (San Francisco) 01/31/2019 XKEE12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0401 Pe - Safe, Functional, Comfortable Environment null
▼ 052701 U S Renal Care Earl Street Dialysis 20911 Earl Street, #160 Torrance CA 9 (San Francisco) 02/22/2019 28CB12 Complaint
Deficiency Tag Deficiency Description Tag Type
V0504 Assess B/P & Fluid Management Needs null
V0543 Manage Volume Status null
V0544 Achieve Adequate Clearance null
▼ 052701 U S Renal Care Earl Street Dialysis 20911 Earl Street, #160 Torrance CA 9 (San Francisco) 07/23/2019 SOX211 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0250 Dialysate Proportioning - Monitor Ph/Conductivity 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
V0519 Frequency Reassessment - Stable - Annual Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0558 Implement Updates Of Poc - 15 Days P Pt Assessment Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
▼ 052708 Fresenius Medical Care North Coast Kidney Center 3300 Vista Way, Suite A Oceanside CA 9 (San Francisco) 01/26/2018 QY3E11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0543 Manage Volume Status Standard
V0544 Achieve Adequate Clearance Standard
V0547 Manage Anemia/H/H Measured Monthly Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard