| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 012505 | (X3) Date Survey Completed 07/21/2022 |
| Name of Provider or Supplier Physicians Choice Dialysis-Montgomery | Street Address, City, State 1001 Forest Avenue, Montgomery, 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 recertification survey was completed on 7/21/22 at Physicians Choice Dialysis-Montgomery. A Condition level deficiency was cited for Infection Control-494.30 and related standards. During the recertification survey, complaint AL00041892 was investigated. The complaint was substantiated and no deficiencies were cited. |