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

Time Interval

Please select the calendar year or years for which you would like data.

Note: There is no Transplant 2567 data for the year 2012.

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 transplant 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
019801 Children's Hospital Of Alabama 1600 Seventh Avenue South Birmingham AL 4 (Atlanta) 05/01/2013 BHEW11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0073 Organ Receipt Standard
X0053 Psychosocial Evaluation For Candidate Element
X0088 Patient Informed Of Waitlist Status Element
X0154 Patient Informed Of Potential Risks Element
X0155 Patient Informed Of National/Center Outcomes Element
039800 Banner University Medical Ctr At The Az Health Sc 1501 North Campbell Avenue Tucson AZ 9 (San Francisco) 04/28/2016 4FDH11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0001 Special Requirements For Transplant Centers Condition
X0041 Data Submit/Experience/Outcomes - Reapproval Condition
X0042 Data Submission - Reapproval Standard
X0043 Clinical Experience - Reapproval Standard
X0073 Organ Receipt Standard
X0074 Living Donor Transplantation Standard
X0082 Patient And Living Donor Care Standard
X0125 Multidisciplinary Transplant Team Standard
X0159 Informed Consent For Living Donors Standard
X0055 Documentation Of Patient Selection Criteria Element
X0086 Notification Of Removal To Optn Element
X0090 Care Planning During Transplant Period Element
X0091 Discharge Planning For Post-Transplant Care Element
X0112 Adequate Training Of Nursing Staff Element
X0124 Advocate/Team Responsibilities Element
X0154 Patient Informed Of Potential Risks Element
X0155 Patient Informed Of National/Center Outcomes Element
X0165 Donor Informed Of National/Center Outcomes Element
X0168 Risk Of Recipient Drug Non Payment Element
039800 Banner University Medical Ctr At The Az Health Sc 1501 North Campbell Avenue Tucson AZ 9 (San Francisco) 07/08/2014 EFLV11 Complaint
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0001 Special Requirements For Transplant Centers Condition
X0099 Quality Assessment/Performance Improvement Condition
X0100 Components Of Qapi Program Standard
X0101 Actions To Improve Performance/Tracking Standard
X0102 Adverse Events Standard
X0103 Analysis/Documentation Of Adverse Event Element
X0104 Effect Changes To Prevent Repeat Incidents Element
039800 Banner University Medical Ctr At The Az Health Sc 1501 North Campbell Avenue Tucson AZ 9 (San Francisco) 07/18/2011 4EIW11 Standard
Deficiency Tag Deficiency Description Tag Type
X0001 Special Requirements For Transplant Centers Condition
X0081 Patient And Living Donor Management Condition
X0099 Quality Assessment/Performance Improvement Condition
X0109 Human Resources Condition
X0082 Patient And Living Donor Care Standard
X0094 Nutritional Services Standard
X0100 Components Of Qapi Program Standard
X0120 Transplant Coordinator Responsibilities Standard
X0121 Independent Living Donor Advocate/Team Standard
X0060 Documentation Of Informed Consent Element
X0090 Care Planning During Transplant Period Element
X0091 Discharge Planning For Post-Transplant Care Element
X0123 Advocate/Team Knowledge Of Organ Donation Element
X0152 Patient Informed Of Surgical Procedure Element
X0160 Donor Informed Of Confidental Communication Element
X0165 Donor Informed Of National/Center Outcomes Element
039801 Mayo Clinic Hospital 5777 East Mayo Boulevard Phoenix AZ 9 (San Francisco) 10/31/2023 P77Q11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0150 Informed Consent For Transplant Patients Standard
039801 Mayo Clinic Hospital 5777 East Mayo Boulevard Phoenix AZ 9 (San Francisco) 12/15/2016 T1BB11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0042 Data Submission - Reapproval Standard
X0086 Notification Of Removal To Optn Element
X0155 Patient Informed Of National/Center Outcomes Element
039801 Mayo Clinic Hospital 5777 East Mayo Boulevard Phoenix AZ 9 (San Francisco) 04/27/2012 Q7D011 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0100 Components Of Qapi Program Standard
X0085 Removal From Waiting List Element
039802 Banner- University Medical Center Phoenix 1441 N 12th Phoenix AZ 9 (San Francisco) 01/12/2017 OTVO11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0073 Organ Receipt Standard
X0074 Living Donor Transplantation Standard
X0082 Patient And Living Donor Care Standard
X0100 Components Of Qapi Program Standard
X0086 Notification Of Removal To Optn Element
X0088 Patient Informed Of Waitlist Status Element
X0091 Discharge Planning For Post-Transplant Care Element
039802 Banner- University Medical Center Phoenix 1441 N 12th Phoenix AZ 9 (San Francisco) 05/24/2012 GSGZ11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0112 Adequate Training Of Nursing Staff Element
039803 St Joseph's Hospital And Medical Center 350 West Thomas Road, Suite #500 Phoenix AZ 9 (San Francisco) 09/18/2015 WDPY11 Standard
Deficiency Tag Deficiency Description Tag Type
X0000 Initial Comments - Not A Deficiency Citation Memo
X0125 Multidisciplinary Transplant Team Standard
X0123 Advocate/Team Knowledge Of Organ Donation Element
X0124 Advocate/Team Responsibilities Element
X0168 Risk Of Recipient Drug Non Payment Element