| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852555 | (X3) Date Survey Completed 03/21/2019 |
| Name of Provider or Supplier Quitman Dialysis | Street Address, City, State 101 E. Davis Street, Quitman, 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) |
| E0000 | A recertification survey was conducted at Quitman Dialysis from March 19, 2019 through March 21, 2019. The recertification survey revealed that the facility was in compliance with 42 CFR Part 494.62, Conditions for Coverage for Emergency Preparedness Plans for End Stage Renal Dialysis Facilities. No deficiencies were cited. |