Dialysis facility record · CCN 672767
Pine Park Dialysis
3333 Bayshore Blvd, Pasadena, TX, 77504
Total citations
16
across 3 survey dates
Condition-level
0
most-serious findings
Distinct V-tags
13
unique V-tags cited
Most recent survey
09/10/2025
history from 09/06/2019
Citation history
Newest survey first. Every dialysis deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level |
|---|---|---|---|---|
| 09/10/2025 | Complaint | V0111 | Ic - Sanitary Environment | Standard |
| 09/10/2025 | Complaint | V0113 | Ic - Wear Gloves/Hand Hygiene | Standard |
| 09/10/2025 | Complaint | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 09/10/2025 | Complaint | V0407 | Pe - Hemodialysis Patients In View During Treatments | Standard |
| 09/10/2025 | Complaint | V0463 | Receive Services Outlined In Poc | Standard |
| 09/10/2025 | Complaint | V0508 | Assess Renal Bone Disease | Standard |
| 09/10/2025 | Complaint | V0516 | Frequency - Initial: 30 Days/13 Tx | Standard |
| 09/10/2025 | Complaint | V0557 | Initial Poc Implemented - 30 Days/13 Tx | Standard |
| 09/10/2025 | Complaint | V0715 | Md Resp - Ensure All Adhere To P&P | Standard |
| 03/28/2025 | Complaint | V0101 | Compliance With Fed/State/Local Laws | Standard |
| 03/28/2025 | Complaint | V0117 | Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts | Standard |
| 03/28/2025 | Complaint | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 03/28/2025 | Complaint | V0403 | Pe - Equipment Maintenance - Manufacturer'S Dfu | Standard |
| 09/06/2019 | Complaint, Standard | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 09/06/2019 | Complaint, Standard | V0715 | Md Resp - Ensure All Adhere To P&P | Standard |
| 09/06/2019 | Complaint, Standard | V0758 | Rn, Msw, & Rd Available To Meet Patient Needs | Standard |