Dialysis facility record · CCN 452731
Cleveland Dialysis Center
202 E Fort Worth St, Cleveland, TX, 77327
Total citations
53
across 4 survey dates
Condition-level
4
most-serious findings
Distinct V-tags
41
unique V-tags cited
Most recent survey
06/11/2025
history from 05/08/2019
Citation history
Newest survey first. Every dialysis deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level |
|---|---|---|---|---|
| 06/11/2025 | Standard | E0028 | Dialysis Emergency Equipment | Standard |
| 06/11/2025 | Standard | V0111 | Ic - Sanitary Environment | Standard |
| 06/11/2025 | Standard | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 06/11/2025 | Standard | V0175 | Cfc - Water And Dialysate Quality | ConditionCondition-level |
| 06/11/2025 | Standard | V0196 | Carbon Adsorption - Monitoring, Testing Frequency | Standard |
| 06/11/2025 | Standard | V0219 | Bacterial Control - Disinfect Monthly/Disinfection Dwell | Standard |
| 06/11/2025 | Standard | V0222 | Acid Bulk Storage Tanks - Safety Controls | Standard |
| 06/11/2025 | Standard | V0228 | Mixing Systems - Labeling | Standard |
| 06/11/2025 | Standard | V0230 | Mixing Systems - Cleaning | Standard |
| 06/11/2025 | Standard | V0400 | Cfc - Physical Environment | ConditionCondition-level |
| 06/11/2025 | Standard | V0402 | Pe - Building - Constructed/Maintained To Ensure Safety | Standard |
| 06/11/2025 | Standard | V0403 | Pe - Equipment Maintenance - Manufacturer'S Dfu | Standard |
| 06/11/2025 | Standard | V0503 | Appropriateness Of Dialysis Rx | Standard |
| 06/11/2024 | Standard | V0110 | Cfc - Infection Control | ConditionCondition-level |
| 06/11/2024 | Standard | V0111 | Ic - Sanitary Environment | Standard |
| 06/11/2024 | Standard | V0114 | Ic - Sinks Available | Standard |
| 06/11/2024 | Standard | V0117 | Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts | Standard |
| 06/11/2024 | Standard | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 06/11/2024 | Standard | V0190 | Softeners - Automatically Regenerated/Timers/Salt/Salt Level | Standard |
| 06/11/2024 | Standard | V0222 | Acid Bulk Storage Tanks - Safety Controls | Standard |
| 06/11/2024 | Standard | V0245 | Acid Conc Distribution - Conc Labeled & Color-Coded Red | Standard |
| 06/11/2024 | Standard | V0246 | Bicarb Conc Distribution - Color Coded Blue & Sealed | Standard |
| 06/11/2024 | Standard | V0250 | Dialysate Proportioning - Monitor Ph/Conductivity | Standard |
| 06/11/2024 | Standard | V0402 | Pe - Building - Constructed/Maintained To Ensure Safety | Standard |
| 06/11/2024 | Standard | V0403 | Pe - Equipment Maintenance - Manufacturer'S Dfu | Standard |
| 06/11/2024 | Standard | V0502 | Assess Current Health Status Inc Comorbids | Standard |
| 06/11/2024 | Standard | V0727 | Mr - Protect Patient Records From Loss/Keep Confidential | Standard |
| 06/21/2023 | Standard | V0100 | Cfc - Compliance With Fed/State/Local Laws | ConditionCondition-level |
| 06/21/2023 | Standard | V0111 | Ic - Sanitary Environment | Standard |
| 06/21/2023 | Standard | V0147 | Ic - Staff Education Re Catheters/Catheter Care | Standard |
| 06/21/2023 | Standard | V0470 | Rights Posted With State/Nw Contact #S And Addresses | Standard |
| 06/21/2023 | Standard | V0558 | Implement Updates Of Poc - 15 Days P Pt Assessment | Standard |
| 06/21/2023 | Standard | V0729 | Mr - Complete Records Promptly | Standard |
| 06/21/2023 | Standard | V0757 | Staff # & Ratio Meet Patient Needs | Standard |
| 06/21/2023 | Standard | V0765 | Internal Grievance Process Components & Implemented | Standard |
| 05/08/2019 | Standard | E0013 | Development Of Ep Policies And Procedures | Standard |
| 05/08/2019 | Standard | V0114 | Ic - Sinks Available | Standard |
| 05/08/2019 | Standard | V0117 | Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts | Standard |
| 05/08/2019 | Standard | V0120 | Ic - Transducer Protectors: Not Wetted/Changed | Standard |
| 05/08/2019 | Standard | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 05/08/2019 | Standard | V0143 | Ic - Aseptic Techniques For Iv Meds | Standard |
| 05/08/2019 | Standard | V0219 | Bacterial Control - Disinfect Monthly/Disinfection Dwell | Standard |
| 05/08/2019 | Standard | V0229 | Mixing Systems - Permanent Record/Verification Testing | Standard |
| 05/08/2019 | Standard | V0250 | Dialysate Proportioning - Monitor Ph/Conductivity | Standard |
| 05/08/2019 | Standard | V0401 | Pe - Safe, Functional, Comfortable Environment | Standard |
| 05/08/2019 | Standard | V0502 | Assess Current Health Status Inc Comorbids | Standard |
| 05/08/2019 | Standard | V0504 | Assess B/P & Fluid Management Needs | Standard |
| 05/08/2019 | Standard | V0516 | Frequency - Initial: 30 Days/13 Tx | Standard |
| 05/08/2019 | Standard | V0520 | Frequency Reassessment - Unstable - Monthly | Standard |
| 05/08/2019 | Standard | V0543 | Manage Volume Status | Standard |
| 05/08/2019 | Standard | V0560 | Patients Seen By Med Staff Member Monthly | Standard |
| 05/08/2019 | Standard | V0628 | Measure, Analyze And Track Quality Indicators | Standard |
| 05/08/2019 | Standard | V0634 | Qapi Indicator - Medical Injuries/Errors | Standard |