| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852592 | (X3) Date Survey Completed 07/16/2025 |
| Name of Provider or Supplier Kidneyspa East Atlanta Dialysis, Llc | Street Address, City, State 2375 Metropolitan Pkwy Sw, 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 unannounced onsite survey to investigate Complaint # GA00255800 and # GA00255540, was conducted on July 16, 2025 and ended on July 16, 2025. Two of two allegations were substantiated. The following standard level deficiencies were cited: |