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 852587 (X3) Date Survey Completed 02/07/2025
Name of Provider or Supplier Fresenius Kidney Care Richmond County Street Address, City, State 2556 Tobacco Road Suite A, Hephzibah, 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 Fresenius Kidney Care Richmond County from February 5, 2025, through February 7. 2025. The survey revealed that the facility was not in compliance with 42 CFR 494.40 - Water and Dialysate Quality and 42 CFR 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: