| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852569 | (X3) Date Survey Completed 06/23/2023 |
| Name of Provider or Supplier Dialysis Center Of Athens | Street Address, City, State 210 Hawthorne Park, Athens, 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 | A Recertification Survey was conducted at Dialysis Center of Athens from June 21, 2023 through June 23, 2023. The survey revealed that the facility was not in compliance with 42 CFR 494.30 - Infection Control, 42 CFR 494.40 - Water and Dialysate Quality, and 42 CFR Part 494.180 - Governance, for End Stage Renal Disease Facilities. The following standard level deficiencies were also cited which resulted from the facility's noncompliance related to the survey: |