Hearth Record

Usrc Warsaw

A dialysis facility in Warsaw, Virginia 22572

4709 Richmond Rd, Warsaw, Virginia 22572. (804) 333-4444.

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 2 deficiencies in 1 month of the last 36. Last cited Jun 2025. Most serious: Standard-level. Every month

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 Jun 11, 2025: a standard inspection.

2 deficiencies cited in the last three years.

Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

When those deficiencies happened

2 deficiencies in 1 month of the last 36. Last cited Jun 2025. Most serious: Standard-level. The last 3 years, to Oct 30, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 11, 2025: standard inspection2 deficiencies
  • Appropriateness Of Dialysis Rx

    The inspectors’ words, 250 words

    “PA-APPROPRIATENESS OF DIALYSIS RX CFR(s): 494.80(a)(2) The patient’s comprehensive assessment must include, but is not limited to, the following: (2) Evaluation of the appropriateness of the dialysis prescription, This Standard is not met as evidenced by: 34452 Based on document review and interview, it was determined that the facility failed to ensure the Patient’s treatment Blood Flow rate (BFR) was as prescribed by the Physician for one (1) of seven (7) ICHD (incenter hemodialysis) Patients (P), P # 2. The findings include: On June 10, 2025 at 9:30 AM, the clinical record review for P # 2 revealed the following: The flowsheet dated June 2, 2025 revealed the BFR was documented as 450 between 5:58 AM and 9:28 AM. The Physician ordered BFR was 500. There was no documentation of the reason for the decreased BFR or that the Physician and/or Registered Nurse (RN) was notified. The flowsheet dated June 6, 2024 revealed the BFR was documented as 400 between 6:35 AM and 9:35 AM. The Physician ordered BFR was 500. There was no documentation of the reason for the decreased BFR or that the Physician and/or RN was notified. On June 10, 2025 at approximately 1:30 PM, a review of the facility’s policy titled “Intradialytic Monitoring of Patient” reads in part “Blood flow rate: any variance from prescribed order requires documentation of reason.” On June 11, 2025 at approximately 10:30 AM, an interview with Staff Members # 1 and # 7 indicated staff are expected to follow the policy.”

    Rule V0503. Standard-level.

  • Assess B/P & Fluid Management Needs

    The inspectors’ words, 599 words

    “PA-ASSESS B/P, FLUID MANAGEMENT NEEDS CFR(s): 494.80(a)(2) The patient’s comprehensive assessment must include, but is not limited to, the following: Blood pressure, and fluid management needs. This Standard is not met as evidenced by: 34452 Based on document review and interview, it was determined that the facility failed to ensure: the Registered Nurse (RN) performed and documented the nursing assessment within one (1) hour of the treatment initiation per facility policy for one (1) of seven (7) InCenter HemoDialysis (ICHD) Patients (P), P # 3; staff obtained a standing blood pressure (BP) per facility policy on four (4) of seven (7) ICHD Patients, P # 2, # 3, # 4 and # 6; and staff obtained machine parameters and vital signs to include BFR and blood pressure at least every 30 minutes for one (1) of seven (7) ICHD Patients, P # 6. The findings include: On June 10, 2025, between 9:00 AM and 12:00 PM, the clinical record review revealed the following: P # 2- The flowsheet dated June 2, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 154/91. The flowsheet dated June 6, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 171/97. P # 3- The flowsheet dated May 29, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 184/96. The flowsheet dated May 31, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 186/105. The flowsheet dated June 3, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 167/89. The flowsheet dated June 7, 2025 revealed the treatment was initiated at 10:50 AM and ended at 3:03 PM. The Registered Nurse (RN) assessment was documented at 1:12 PM (greater than one (1) hour. There was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 156/76. P # 4- The flowsheet dated May 31, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 173/87. P # 6- The flowsheet dated May 30, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 122/51. The flowsheet dated June 2, 2025 revealed there was no standing BP on the pre or post treatment assessment. Mobility was documented as “ambulatory”. There was no documented machine parameters and vital signs to include BFR and blood pressure between 11:05 AM and 1:21 PM (greater than 30 minutes). The flowsheet dated June 6, 2025 revealed there was no standing BP on the pre treatment assessment. Mobility was documented as “ambulatory”. The post treatment BP was documented as 165/67. On June 10, 2025 at approximately 1:30 PM, a review of the facility’s policy titled “Pre-Treatment Assessment of Patient” reads in part “Pre dialysis nursing assessment will occur within the first hour of patient contact. Pre dialysis data collection: blood pressure (sitting completed on all patients followed by a standing, if able).” On June 10, 2025 at approximately 10:30 AM, an interview with Staff Members # 1 and # 7 indicated staff are expected to follow the policy.”

    Rule V0504. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jun 11, 2025Standard inspection2 deficiencies cited

Is it certified?

  • Medicare-certified dialysis facility, certified or last recertified on Jan 30, 2004.
  • Run for profit.
  • No deficiency on record in the last three years.
  • Chain: US Renal Care, Inc.
Source:

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.
Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

What does it offer?

  • Offers in-center hemodialysis and peritoneal dialysis.
  • Doesn’t offer home hemodialysis training and a shift starting at 5 p.m. or later.
  • 15 dialysis stations.
  • CMS doesn’t publish staffing levels for dialysis facilities.
  • In CMS’s survey, patients rate its staff 3 of 5.
Source:

CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.

Who owns it?

  • Part of the US Renal Care, Inc. chain, as CMS lists it.
  • CMS publishes no owners file for dialysis facilities, so no other owner is named.
Source:

CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.

How do patients fare?

  • CMS rates it 2 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, worse than 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, as expected; patients on a kidney transplant waitlist, as expected.
  • Patients rate it 3 of 5 in CMS’s survey of in-center hemodialysis patients (36 interviews, Oct 18, 2024 to Jul 11, 2025): 62% rated the facility 9 or 10 out of 10.
Source:

CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Star ratingCMS’s star rating for dialysis facilities, 1 to 52 of 5
Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 53 of 5

How does it compare nearby?

  • No other dialysis facility CMS lists is in Richmond County.
Source:

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 8, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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