| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852551 | (X3) Date Survey Completed 01/15/2025 |
| Name of Provider or Supplier Duluth Dialysis | Street Address, City, State 3170 Peachtree Ind Blvd, Ste 100, Duluth, 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 | A Recertification survey was conducted at Duluth Dialysis from January 13, 2025 through January 15, 2025. The survey revealed that the facility was not in compliance with 42 CFR Part 494.40 - Water and Dialysate Quality and 42 CFR Part 494.180 - Governance, for End Stage Renal Disease Facilities. The following standard level deficiencies were also cited which resulted from the facility's noncompliance related to the survey: |