| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 012506 | (X3) Date Survey Completed 04/13/2023 |
| Name of Provider or Supplier Dothan Dialysis | Street Address, City, State 216 Graceland Drive, Dothan, 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 conducted on 4/11/23 to 4/13/23, Dothan Dialysis was not in compliance with the Conditions for Coverage (CfC) at 490.30 Infection Control and related standards. |