| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852554 | (X3) Date Survey Completed 07/26/2021 |
| Name of Provider or Supplier Panola Dialysis | Street Address, City, State 5360 Snapfinger Woods Dr, Ste 102, Stonecrest, 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 | An onsite survey to investigate Complaint #GA00215364 and COVID-19 Focused Infection Control survey was conducted on July 26, 2021. The survey revealed that the facility was in substantial compliance with 42-CFR Part 494, Conditions for Coverage for End Stage Renal Disease Facilities. The allegation was substantiated. The following deficiency was cited: |