| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 012501 | (X3) Date Survey Completed 03/14/2019 |
| Name of Provider or Supplier Gadsden Dialysis | Street Address, City, State 409 South First Street, Gadsden, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| V0000 | "CORE" A re-certification survey was conducted on 3/14/19 at Gdsden Dialysis. Standard Level deficiencies were cited. |