| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852555 | (X3) Date Survey Completed 02/28/2024 |
| 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) |
| V0000 | {CORE} An unannnounced Recertification Survey was conducted at Quitman Dialysis from February 27, 2024 through February 28, 2024. The survey revealed that the facility was in substantail compliance with 42 CFR Part 494 Conditions for Coverage for End Stage Renal Disease Facilities. However, the following standard level deficiencies were cited which resulted from the facility's noncompliance related to the survey: |