Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 852566 (X3) Date Survey Completed 07/03/2024
Name of Provider or Supplier Fresenius Kidney Care Candler Road Street Address, City, State 2886 Memorial Drive Se, Atlanta, 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 #GA00248067 was initiated on July 3, 2024 and concluded on July 3, 2024. One of two allegations was substantiated and the following deficiency was cited: