| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852541 | (X3) Date Survey Completed 02/06/2020 |
| Name of Provider or Supplier Cairo Dialysis | Street Address, City, State 1182 5th St., S.E., Cairo, GA | |
| 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 at Cairo Dialysis from February 3, 2020 through February 6, 2020. The recertification survey revealed that the facility was in substantial compliance with 42 CFR Part 494 Conditions for Coverage for End Stage Renal Disease Facilities. However, the following standard level deficiencies were cited which resulted from the facility's non-compliance related to the survey: |