Fmc Lewisburg
A dialysis facility in Lewisburg, Tennessee 37091
1030 War Eagle Drive, Lewisburg, Tennessee 37091. (931) 359-1940.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s star rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 13 dialysis stations
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Apr 2, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. The last 3 years, to Oct 30, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 2, 2025: standard inspection1 deficiency
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Staff Licensed As Req/Qualified/Demonstrate Competencies
The inspectors’ words, 497 words
“PQ-STAFF LIC AS REQ/QUAL/DEMO COMPETENCY CFR(s): 494.140 All dialysis facility staff must meet the applicable scope of practice board and licensure requirements in effect in the State in which they are employed. The dialysis facility’s staff (employee or contractor) must meet the personnel qualifications and demonstrated competencies necessary to serve collectively the comprehensive needs of the patients. The dialysis facility’s staff must have the ability to demonstrate and sustain the skills needed to perform the specific duties of their positions. This Standard is not met as evidenced by: 46831 Based on review of the 2024 Tennessee Code Annotated 63-7-103, facility document review, medical record review, observation, and interview, the facility failed to ensure staff met the personnel qualifications and competencies to provide safe patient care when they failed to ensure hypotensive patients were assessed and treated by an RN on 1 of 2 (3/31/2025) observation days. The findings included: 1.Review of the 2024 Tennessee Code Annotated 63-07-103 revealed, “...Practice of professional nursing” means the performance for compensation of any act requiring substantial specialized judgment and skill based on knowledge of the natural, behavioral and nursing sciences and the humanities as the basis for application of the nursing process in wellness and illness care...(2) “Professional nursing” includes:(A) Responsible supervision of a patient requiring skill and observation of symptoms and reactions and accurate recording of the facts...(D) Administration of medications and treatments as prescribed by a licensed physician...” 2. Review of the facility document titled “Standing Orders,” revealed, “...PRN MEDICATIONS ...Hypotension ...Administer 0.9% Saline...IV 100ml may repeat x 10...” 3. Medical record review for Random Patient #4 revealed an admission date of 7/1/2014 with diagnoses which included Type 2 Diabetes Mellitus and ESRD. Review of the physician’s order dated 3/28/2025 revealed Patient #4 was to receive hemodialysis treatments via an AVF three times a week. Observations on the treatment floor at Station #4 on 3/31/2025 at 11:01 AM, revealed Random Patient #4’s standing blood pressure was assessed by CCHT #1. The Patient’s blood pressure was 91/51. CCHT #1 had the Patient return to a sitting position and administered an intravenous normal saline infusion without informing RN #1. CCHT #1 acted out of her scope of practice when she failed to inform RN #1 the Patient was hypotensive, failed to wait for the RN to assess and treat the Patient, and administered the normal saline (250 ml) herself. Review of the Treatment Sheet for Random Patient #4 dated 3/31/2025 at 11:04 AM, revealed CCHT #1 documented she administered 250 cc NS. There was no documentation RN #1 was notified and/or assessed and treated the Patient. During an interview on 3/31/2025 at 3:38 PM, the RDO was asked if a CCHTs could administer normal saline to a hypotensive patient. The RDO stated, “No.” During an interview on 4/1/2025 at 1:55 PM, the CM was asked if a CCHT could administer normal saline to a patient experiencing intradialytic hypotension. The CM stated, “Only the RN is authorized to administer NS for hypotension.””
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 2, 2025 | Complaint inspection | No deficiencies cited |
| Apr 2, 2025 | Standard inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Aug 27, 2008.
- Run for profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Chain: Fresenius Medical Care.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for dialysis facilities.
- None of the deficiencies cited in the last three years came from an inspection that included a complaint investigation.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
What does it offer?
- Offers in-center hemodialysis.
- Doesn’t offer peritoneal dialysis, home hemodialysis training and a shift starting at 5 p.m. or later.
- 13 dialysis stations.
- CMS doesn’t publish staffing levels for dialysis facilities.
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
Who owns it?
- Part of the Fresenius Medical Care chain, as CMS lists it.
- CMS publishes no owners file for dialysis facilities, so no other owner is named.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
How do patients fare?
- CMS rates it 4 of 5 stars (Jan 1, 2021 to Dec 31, 2024).
- Compared by CMS with what it expects for the facility’s patients: patient survival, as expected; hospital admissions, as expected; readmissions to hospital, as expected; emergency department visits, as expected; bloodstream infections, as expected; patients dialysing through a fistula, as expected; patients on a kidney transplant waitlist, as expected.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Too few completed survey responses to report.”
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Star ratingCMS’s star rating for dialysis facilities, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5 | Not rated |
How does it compare nearby?
- No other dialysis facility CMS lists is in Marshall County.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for dialysis facilities, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says it has no dialysis inspection reports after February 19, 2026, while it moves to a new system: a later inspection is not shown yet.
- CMS doesn’t publish staffing levels for dialysis facilities.
- CMS publishes no owners file for dialysis facilities: the chain it lists is the only owner named.
Sources
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Centers for Medicare & Medicaid Services, Dialysis Facility - Listing by Facility (23ew-n7w9).
Released Jul 15, 2026 and checked Oct 30, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (ICH CAHPS) - Facility (59mq-zhts).
Released Jul 15, 2026 and checked Oct 30, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies (ESRD_2567s_2018_to_2026YTD.xlsx).
Released Oct 28, 2026 and checked Oct 30, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 30, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.