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 852578 (X3) Date Survey Completed 11/17/2025
Name of Provider or Supplier Dialysis Care Center Pleasant Hill, Llc Street Address, City, State 1425 Georgia Ave, Suite 101, Macon, 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 unannounced onsite visit to investigate complaint #GA00256125 was conducted at Dialysis Care Center Pleasant Hill, LLC from November 17, 2025 through November 17, 2025. One of one allegation was substantiated. A standard level deficiency was cited.