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
052715 U S Renal Care Lomita Dialysis 1830 Lomita Blvd Lomita CA 9 (San Francisco) 02/07/2019 TI5G11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0030 Names And Contact Information Standard
E0038 Esrd Ep Training Program 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
V0124 Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
V0504 Assess B/P & Fluid Management Needs Standard
V0726 Medical Records - Complete, Accurate, Accessible Standard
052715 U S Renal Care Lomita Dialysis 1830 Lomita Blvd Lomita CA 9 (San Francisco) 04/18/2019 0UFQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0132 Ic - Training And Education Standard
052717 Greater El Monte Dialysis Ctr 1938 Tyler Avenue, Suite J-168 South El Monte CA 9 (San Francisco) 08/27/2019 0WRR11 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0501 Patient Assessment - Interdisciplinary Team Mbrs/Resp. Standard
V0516 Frequency - Initial: 30 Days/13 Tx Standard
V0517 F/U Reassessment - Within 3 Months Of Initial Standard
V0519 Frequency Reassessment - Stable - Annual Standard
V0520 Frequency Reassessment - Unstable - Monthly 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
052718 Norwalk Dialysis Center 12375 East Imperial Highway Norwalk CA 9 (San Francisco) 01/16/2019 VMBU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0115 Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area Standard
V0405 Pe - Comfortable Temperature Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
V0552 Psychosocial Counseling/Referrals/Assessment Tool Standard
V0628 Measure, Analyze And Track Quality Indicators Standard
052721 Rai-2757 Telegraph-Oakland 2757 Telegraph Avenue Oakland CA 9 (San Francisco) 12/29/2022 I4XN11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
052721 Rai-2757 Telegraph-Oakland 2757 Telegraph Avenue Oakland CA 9 (San Francisco) 10/25/2023 UAIH11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0119 Ic - Supply Cart Distant/No Supplies In Pockets Standard
V0120 Ic - Transducer Protectors: Not Wetted/Changed Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0127 Ic - Hbv - Test Pts/Staff Post Last Dose Standard
V0184 Environment: Secure And Restricted Standard
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
V0502 Assess Current Health Status Inc Comorbids Standard
V0505 Assess Lab Profile Standard
V0542 Idt Develops Plan Of Care Standard
V0543 Manage Volume Status Standard
052722 Fresenius Medical Care Fremont 39505 Paseo Padre Parkway Fremont CA 9 (San Francisco) 03/15/2018 EH7X11 Standard
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
V0726 Medical Records - Complete, Accurate, Accessible Standard
052723 Manteca Dialysis 1620 W Yosemite Avenue Manteca CA 9 (San Francisco) 06/14/2018 LT8K11 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
052724 Los Nietos Dialysis 10012 Norwalk Blvd, Suite 190 Santa Fe Springs CA 9 (San Francisco) 01/16/2019 Z8U411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
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
V0196 Carbon Adsorption - Monitoring, Testing Frequency Standard
V0407 Pe - Hemodialysis Patients In View During Treatments Standard
052726 Mohan Dialysis Center Of Covin 158 W College Covina CA 9 (San Francisco) 09/23/2021 JCQO11 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0455 Privacy & Confidentiality In Records Standard