| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852560 | (X3) Date Survey Completed 02/22/2024 |
| Name of Provider or Supplier Poplar Dialysis | Street Address, City, State 2301 Newnan Crossing Blvd, Ste 180, Newnan, 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} A Recertification survey was conducted at Poplar Dialysis from February 20, 2024 through February 22, 2024. The survey revealed that the facility was in substantial 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: |