Bma - Mountain Empire
A dialysis facility in Norton, Virginia 24273
340 Anderson Hollow Rd, Ste 100, Norton, Virginia 24273. (276) 679-7805.
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The short answer
Record last released by CMS on Oct 14, 2026.
- 1of 5 CMS’s star rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 16 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 Jul 30, 2025: a standard inspection.
1 deficiency cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2025. Most serious: Standard-level. The last 3 years, to Oct 19, 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 14, 2026. Updated monthly.
Jul 30, 2025: standard inspection1 deficiency
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Achieve Adequate Clearance
The inspectors’ words, 585 words
“POC-ACHIEVE ADEQUATE CLEARANCE CFR(s): 494.90(a)(1) Achieve and sustain the prescribed dose of dialysis to meet a hemodialysis Kt/V of at least 1.2 and a peritoneal dialysis weekly Kt/V of at least 1.7 or meet an alternative equivalent professionally-accepted clinical practice standard for adequacy of dialysis. This Standard is not met as evidenced by: 33906 Based on observation, interviews and document review, it was determined the facility staff failed to ensure care was delivered according to the plan of care ordered by the physician for two (2) of four (4) patients included in the sample who received heparin via infusion pump. Patient #2 and Patient #4 The findings include: The surveyor reviewed patient’s medical records on July, 30, 2025. Patient #2’s and 4’s dialysis prescriptions included an order for heparin. (Heparin is an anticoagulant (blood thinner) that prevents the formation of blood clots. Retrieved from www.drugs.com on August 1, 2025). The facility uses a heparin pump to deliver the medication to the patient during dialysis. The heparin pump is an integrated component of the dialysis machine and delivers a prescribed/ programmed dosage of heparin to the patient. Patient #2’s dialysis treatment prescriptions indicated treatment time of 4 (four) hours and heparin to be administered by pump at rate of 500 units per hour, and the pump to be turned off 60 minutes prior to the end of treatment. The surveyor reviewed two weeks of Patient #2’s most current treatment flowsheet and found that during 1 (one) of 6 (six) treatments, Patient #2 did not received the ordered dose of heparin while the treatment was running. The flowsheet of dialysis treatment on 7/15/25 documented that Patient #2’s treatment lasted 3 (three) hours during which patient received 2000 units of heparin instead of the ordered 1500 units. The heparin pump was documented as on for 2 hours and 37 minutes. Patient #4’s dialysis treatment prescriptions indicated treatment time of 4 (four) hours and heparin to be administered by pump at rate of 100 units per hour, and the pump to be turned off 60 minutes prior to the end of treatment. The surveyor reviewed two weeks of Patient #4’s most current treatment sheets were reviewed and found during 4 (four) of 6 (six) treatments, Patient #4 did not received the ordered dose of heparin while the treatment was running. The flowsheet treatment on 7/15/25 documented that Patient #4’s treatment took 4 (four) hours during which patient received 3000 units of heparin instead of the ordered 4000 units. The heparin pump was documented as on for 4 hours and 5 minutes. The flowsheet treatment on 7/19/25 documented that Patient #4’s treatment was 4 (four) hours during which patient received 3700 units of heparin instead of the ordered 4000 units. The heparin pump was documented as on for 3 hours and 58 minutes. The flowsheet treatment on 7/22/25 documented that Patient #4’s treatment lasted 4 (four) hours and 3 (three) minutes during which patient received 3800 units of heparin instead of the ordered 4000 units. The heparin pump was documented as on for 4 hours and 3 minutes. The flowsheet treatment on 7/24/25 documented that Patient #4’s treatment lasted 4 (four) hours and 1 (one) minute during which patient received 3700 units of heparin instead of the ordered 4000 units. The heparin pump was documented as on for 4 hours and 1 minute. Interviews with Staff #1 and Staff #2 indicated possible reasons for inaccurate dosing may include: an issue with priming the heparin line and/or programming of the pump.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 30, 2025 | Standard inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Jan 1, 1984.
- 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 14, 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 14, 2026. Updated monthly.
What does it offer?
- Offers in-center hemodialysis, peritoneal dialysis and home hemodialysis training.
- Doesn’t offer a shift starting at 5 p.m. or later.
- 16 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 1 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; blood transfusions, as expected; emergency department visits, as expected; emergency department visits within 30 days of a hospital stay, as expected; bloodstream infections, as expected; patients dialysing through a fistula, as expected; patients put on a kidney transplant waitlist in their first year of dialysis, worse than 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 | 1 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 Norton City.
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 19, 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 19, 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 14, 2026 and checked Oct 19, 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 19, 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.