Cycle
Surveyed every 3 years, sometimes sooner
Complaint-driven and incident-driven surveys can arrive any time. The evidence has to be current, not reconstructed.
For independent and small-chain dialysis
Pass your next water compliance survey. Without the spreadsheet.
ESRD water compliance is not abstract risk. Caseore gives independent clinics and small regional operators the case workflow, evidence chain, and closure record that surveyors expect without making you build hospital-scale infrastructure first.
Full dialysis solution detailsBuilt for
1-15 site operators
Standards
CMS ESRD ready
Pilot
60 days
What's at stake
A single water compliance finding can close a clinic.
ESRD surveys are not theoretical risk. A failure to investigate a bacterial or endotoxin exceedance, or to verify that remediation worked, is exactly the kind of finding that becomes immediate jeopardy.
90-day
Corrective action plans run fast
Once cited, clinics typically have 90 days or less to demonstrate the finding is closed with documented evidence.
1 gap
One missing record is the whole finding
A surveyor does not grade on completeness. A gap in the chain of evidence for one retest is the citation.
How it works today vs. with Caseore
The gap between how clinics actually operate and what surveyors expect.
How most independents operate now
- Water culture and endotoxin logs live in a binder or spreadsheet at the clinic.
- An exceedance is noted on paper, while investigation lives in email or a verbal handoff.
- Corrective action is done, but tied back to the finding only by memory or a loose note.
- Retests are logged separately, not visibly linked to the original deviation.
- Vendor and lab communication scatters across inboxes.
- Pre-survey means rebuilding the story from disconnected records.
With Caseore
- Sampling is scheduled by site and water loop, with named assignees and due dates.
- An exceedance automatically opens a case linked to the standard clause and asset.
- Investigation, root cause, and corrective action tasks live in one thread.
- Retest is linked to the original case so the surveyor sees the full arc.
- Vendor and lab partners participate in the case without needing seat licenses.
- A survey-ready evidence packet is exportable in minutes by date range or site.
The workflow, per clinic
Every water exceedance moves through a single defensible path.
01 · Schedule
Sampling calendar per loop
Bacterial and endotoxin cadence is configured per AAMI RD62 and ISO 23500 and assigned to the tech on shift.
02 · Collection
Evidence captured at collection
Chain of custody, sample location, and technician signoff are logged before lab submission.
03 · Result
Thresholds evaluated automatically
In-spec results close. Action-level or maximum exceedances open a case immediately.
04 · Investigation
Linked to loop history and assets
Prior findings on the same loop, recent maintenance, and vendor service history are already in the case.
05 · Remediation
Disinfection, repair, and vendor tasks
Actions are assigned with due dates, and the vendor participates in the same thread as clinic staff.
06 · Verification + closure
Retest linked. Signed off. Closed.
The surveyor sees finding, action, retest, and closure in one record without gaps.
What you get
The compliance system large chains build internally, delivered.
Loop registry
Every water loop and dialysis station mapped
Feed water, product water, distribution, and reuse are monitored against their own limits in one registry.
Standards-aware
RD62, ISO 23500, and ISO 13959 pre-configured
Action and maximum levels are ready for bacterial counts, endotoxin, and chemical contaminants.
Scheduled sampling
Cadence per clinic, per loop
Monthly bacterial, quarterly endotoxin, and annual chemistry cadences are tracked, with overdue items escalated.
Vendor-ready
Water treatment and lab partners in the case
Clinic staff stay in control while vendors and labs contribute directly to the finding record they helped resolve.
Multi-site
Roll up across 2-15 clinics
One operations view shows recurring loop problems across every site before they become repeated survey risk.
CMS export
Surveyor packet in one click
Export by site, date range, or specific finding with chain of custody preserved and signoff captured.
Start with one clinic, prove it
The dialysis water pilot. 60 days. One clinic. Live operation.
We configure Caseore to your clinic's water system, import up to 12 months of prior records, and take the workflow live. By day 60, you have a surveyor-ready evidence record.
What's included
A live Caseore deployment configured for your clinic: loop registry, sampling calendar, vendor coordination, and historical import. Not a sandbox. The record you will survey against.
Loop and asset registryConfigured to your clinic
Sampling calendarMonthly, quarterly, annual cadences
RD62 / ISO 23500 thresholdsAction and maximum levels set
Vendor onboardingWater treatment and lab partner in-thread
Historical importUp to 12 months of prior records
Team trainingClinical manager and technician staff
$3,900
One-time pilot fee · 60 days · one clinic
Continues after pilot at
$375-$625 per month per clinic, scaling down per site as you add clinics in a rollout.
Questions clinic operators ask
What independents actually want to know.
Does this replace my LIMS or water treatment system?
No. Caseore sits beside your lab's LIMS and the water treatment equipment. It owns the compliance case and evidence record those systems were not designed to produce.
Can one clinical manager actually operate this?
Yes. The platform is built for small-team operations. A clinical manager or biomed lead typically owns the system, with others participating per case rather than every day.
What if my water treatment vendor is the one who does my testing?
Caseore is built for that arrangement. Your vendor participates in cases, submits results, and has scoped access to what they need while you still own the evidence record.
We already had a survey this year. Do we need this now?
Yes. The next survey is already on the calendar, and complaint-driven surveys can happen any time. The clinics that stand up the record now are not rebuilding under pressure later.
We are looking at being acquired. Is this a bad time?
It is often the best time. Large chains examine compliance records closely in diligence. A clinic with a clean evidence trail trades from a stronger position than one with a binder.
How fast can we go live?
Usually 30-45 days from contract to live operation at a single clinic. The 60-day pilot window includes at least one full scheduled-sampling cycle inside the system before review.
Next step
A 20-minute walkthrough for your clinic.
We will show the dialysis water compliance workflow running live, walk through your sampling cadence and vendor arrangement, and outline a pilot scope for your clinic.
Pilot
1 clinic
Timeline
60 days
Starting at
$3,900
What to expect
1
Discovery call
We learn about your program, current workflow, and the specific compliance pain you want to fix.
2
Tailored walkthrough
We show the Caseore workflow that fits your environment instead of a generic feature tour.
3
Pilot scope
If there is a fit, we outline the rollout, timeline, and the workflow we would stand up first.
Request a demo
We respond within one business day. A real person reads every request.