| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852552 | (X3) Date Survey Completed 09/14/2023 |
| Name of Provider or Supplier Fresenius Kidney Care Mcdonough | Street Address, City, State 50 Kelly Road, Ste 100, Mcdonough, 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) |
| V0750 | CFC-GOVERNANCE CFR(s): 494.180 This CONDITION is not met as evidenced by: Based on a review of records and facility's Policy and Procedures (P&P) and staff interviews, it was determined that the Governing Body failed to demonstrate responsibility and accountability for the operations of the facility. This failure had the potential to negatively affect the health and safety of 48 in-center hemodialysis patients who were receiving hemodialysis treatment at this facility. Findings include: Cross Reference: V196 - Failure of the facility to measure total chlorine in the water used for dialysis in a timely manner. |