| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852554 | (X3) Date Survey Completed 02/28/2024 |
| 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) |
| V0750 | CFC-GOVERNANCE CFR(s): 494.180 This CONDITION is not met as evidenced by: Based on a review of facility records 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 30 in-center hemodialysis patients who were receiving hemodialysis treatment at this facility. Findings include: Cross Reference V715: Failure of the medical director to ensure that all P & P relative to patient care were adhered to by all staff. |