Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 852542 (X3) Date Survey Completed 08/08/2018
Name of Provider or Supplier Red Hills Dialysis Street Address, City, State 201 Old Albany Road, Thomasville, 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 At the time of the survey, Red Hills Dialysis was not in compliance with 42 CFR Part 494.150 - Responsibilities of the Medical Director, for End Stage Renal Disease Facilities, as a result of a complaint investigation #GA00190506. A condition level was identified and remains out of compliance. Also the following deficiency was cited: