GOVERNOR'S ANNUAL REPORT MARYLAND COMMISSION ON KIDNEY DISEASE and TRANSPLANTATION

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1 GOVERNOR'S ANNUAL REPORT 2017 r \_ MARYLAND COMMISSION ON KIDNEY DISEASE and TRANSPLANTATION 4201 PATTERSON AVENUE BALTIMORE, MD Phone number Website: mdckd.org Dr. Jeremy Y ospin, Chairman Dr. Paul Segal, Vice-Chairman Eva Schwartz, M.S., M.T. SBB (ASCP), Executive Director Donna Adcock, RN, Health Facilities Surveyor Leslie Schulman, Assistant Attorney General, Commission Counsel

2 MARYLAND COMMISSION ON KIDNEY DISEASE REPORT TO THE GOVERNOR January 1, December 2017 "The Commission shall adopt physical and medical standards for the operation of dialysis and renal transplant centers... " "The Commission shall adopt reasonable medical standards for acceptance of patients into the treatment phase of the Program... " "The Commission shall annually evaluate the entire Kidney Disease Program. An annual report of such evaluation shall be made to the Governor... " "The Commission shall survey periodically dialysis and transplant facilities... " "The Commission shall evaluate patient complaints, including cases of verbally and Physically abusive patients... " "The Commission shall collect an annual certification fee from the facilities in order to meet its mandated responsibilities... " Annotated Code of Maryland Health-General Article, Title 13, Subtitle 3 and Title 16, Subtitle 2 Jeremy Yospin, M.D. - Chairman Paul Segal, D.O. - Vice Chairman William Rayfield II, M.D. Henita Schiff Denise Collins, LCSW-C Joan Wise, R.N. Susan Leon, R.N. Donna Hanes, M.D. Sumeska Thavarajah, M.D. Nadiesda Costa, M.D. Adam Berliner, M.D. Bernard Jaar, M.D. (end of service 9/2017) Edward Kraus, M.D. (end of service 9/2017) MEMBERSHIP

3 STAFF 'uring the calendar year 2017, Eva H. Schwartz, M.S., M.T. (ASCP) SBB held the position of Executive Director of the Commission. Leslie Schulman served as the Assistant Attorney General assigned as Counsel to the Commission, and Donna Adcock, R.N. served as the Commission Surveyor of the dialysis and transplant centers. The website manager was Oladunni Akinpelu. COMMISSION MEETINGS The Commission met in January, April, July and October, PHYSICAL AND MEDICAL STANDARDS COMMITTEE The Physical and Medical Standards Committee reviews on-site inspections, and approves facilities requesting certification by the Commission on Kidney Disease for reimbursement purposes by the Kidney Disease Program of Maryland (KDP). The Committee is responsible for research, recommendation and presentation of physical and medical issues affecting the renal community and investigation of patient complaints in an expeditious manner. The recommendations for complaint resolution cases are then voted on by the full Commission and appropriate corrective action is implemented and enforced. If necessary, a facility will be resurveyed because of non-compliance with its own submitted Plan of Correction (POC). During the 2017 calendar year, the following new facilities were approved for certification by the Commission for KDP reimbursement purposes: ',. eacility Address Medical Director Davita Kidney Home Downtown 200 St. Paul Street, Ste. 5 Anita Pasumarthy, M.D. Baltimore, MD Davita Briggs Chaney Outlet Drive Promod Duggal, M.D. Silver Spring, MD Davita Friendly Farms Home Ft. Washington Rd. Roopali Gupta, M.D. Fort Washington, MD Davita Odenton 1360 Blair Drive, Ste. L&M Kenneth Yim, M.D. Odenton, MD Davita Largo Town Center 1101 Merchantile Lane, Ste. 104 Anand Desai, M.D. Largo, MD Davita Greenbelt Home Training Greenbelt Road, Ste. 100 Promod Duggal, M.D. Lanham, M.D Davita Mt. Rainier 2303 Varnum Street Dr. Aroti Hegde Mt. Rainier, MD

4 Additional responsibilities of the Commission are to conduct on-site surveys of the dialysis and transplant facilities throughout the State of Maryland. The Commission surveys the dialysis and transplant facilities to Ieet the regulatory standards as promulgated by the Commission. An annual certification fee collected by the Commission is an additional requirement of the facilities for certification with the Commission and eligibility for reimbursement from the KDP. Enclosed is the roster of all certified dialysis and transplant centers in Maryland. This informational roster is available upon request from the Commission, and is posted on the Commission's website: dhmh.maryland.gov/mdckd. COMMISSION ACCOMPLISHMENTS The Commission reviewed twenty-one (21) complaints between patients and facilities. Additionally, the Commission surveyed ninety-one (91) facilities for compliance with standards of care, and addressed all corrective action plans that emerged from such surveys. Surveys are scheduled based on need related to compliance of the facilities and transplant centers with submitted corrective plans and in response to patient complaints. The Commission reserves the right to schedule surveys to administer and manage the program as statutorily mandated and according to budgetary allowances and available funds. The Commission maintains an active and up to date website (dhmh.maryland.gov/mdckd) for the latest information in the renal field as well as references the Commission's activities and community education accomplishments. In calendar year 2017 the Commission surveyed ninety-one (91) dialysis facilities and transplant centers. Through the Corrective Action Plan process, all Federal and State regulations were enforced by the Commission, thus the Commission has met its mandate. By enforcing compliance with State, Federal and Commission regulations, the quality of care rendered to the ESRD population in the state of Maryland was enhanced and its citizenry protected. The Commission continues to work with the Office of Healthcare Quality (OHCQ) to foster communication between the two offices. Presently, a wonderful cooperation between the Commission and OHCQ enables both entities timely responses to complaints, and therefore patients' welfare and safety is addressed through immediate intervention. Commission representatives participated in the Mid-Atlantic Renal Coalition quarterly teleconferences. The teleconferences provide a forum for Network staff to foster communication with the Commission and OHCQ and to discuss any facility issues. The Commission provides invaluable resources to the Renal Community and the State. The Commissioners offer a wealth of information and experience regarding the care of End Stage Renal Disease patients. The Commission completed and distributed a newsletter to the renal community. The newsletter is a tool to inform the community about the Commission' s activities, and to provide educational information. Each published Newsletter is available on the Commission's website. 3

5 The Commission meetings are forums to inform and educate the renal community. Facilities are encouraged to participate in the meetings and present best practice scenarios. All Open Session minutes are posted on the Commission's website and available for review by the renal community, all dialysis facilities and their staff. The Commission addressed ongoing issues surrounding dialysis facilities' discharge practices and continuity of care issues. The Commission is working collaboratively with the Mid-Atlantic Renal Coalition to review facility discharge requests. The Commission in collaboration with the Maryland Board of Nursing (MBON) continues to enforce the licensure requirement that only Certified Nursing Assistants with a DT (dialysis technician) specification are permitted to provide care for dialysis patients. The Commission collaborated with the Maryland Board of Nursing (MBON) staff to ensure that the MBON's proposed amendments to the CNA-DT certification regulations are aligned with current ESRD facility practice. The Commission in collaboration with the MBON educated the Renal Community regarding CNA-DT training program requirements specifically the requirement for the Registered Nurse to act as the CNA-DT candidates' preceptor. A registered nurse that has been approved by the MBON is responsible for overseeing the didactic and clinical components for the CNA-DT training programs. The Commission continues to provide the Kidney Disease Program (KDP) with expert medical advice including ongoing review of the new ICD-10 codes. The Commission reviews out of state transplant center requests for KDP reimbursement as well as evaluates requests for inclusion of new medications in the KDP pharmaceutical formulary. Commission meetings provide a forum for Renal Community education regarding KDP policies and requirements. The Commission continues to work with local hospitals to locate difficult to place patients in community dialysis facilities. The Commission meets with the medical and management leadership of facilities that are cited with concerning deficiencies. The meetings serve as an educational tool and encourages enforcement of compliance with the Commission's COMAR. The Commission met with Stakeholders regarding nursing ratios in dialysis facilities. Facility representatives were educated on current staffing requirements, reviewed nearby State requirements and common survey findings. The Commission provided information regarding the new CMS Emergency Preparedness Final Rule as it pertains to the outpatient dialysis facilities. A CMS representative presented the information during the July 2017 meeting. 4

6 PATIENT GRIEVANCES During the year 2017, the Commission resolved to the satisfaction of the patients and the dialysis facilities twenty-one (21) complaints. The Commission and staff have availed themselves to the renal community to expeditiously resolve problems arising between patients and facilities. Additionally, the Commission has mandated improvement in the quality of care provided at the facilities cited for deficiencies and violations during the End Stage Renal Disease (ESRD) Survey. These goals were accomplished to the satisfaction of the Commission, thus protecting the safety and welfare of this vulnerable patient population. COMMUNITY EDUCATION This past year the Commission on Kidney Disease helped to support and organize both patient and provider conferences. The Commission partnered with the NKF of Maryland to hold the 1 oth annual Beyond Dialysis Conference dedicated to individuals on dialysis. The event provides an opportunity for dialysis patients to learn about different options for home dialysis and transplantation, to meet with other dialysis patients, and to empower them to take a more active role in their healthcare. Attendees value the information as well as the feeling of being a part of the dialysis community. The event this year was held on May 7, 2017 and was attended by 200 dialysis patients and their family members. The venue was the Hilton Garden Hotel in White Marsh that was chosen based on availability, handicap access, and accessibility via public transportation. Patients were also able to secure transportation through MTA mobility. The program was opened by the vice chair of the Commission who spoke on the role of the Commission and how it serves those patients with end stage renal disease. This was followed by a key note address by a patient with history of end stage renal disease and 2 failed transplants. He spoke about how he has dealt with his diagnosis and how he continues to remain active in his community. This was followed by a session on home dialysis modalities, a session on transplant workup, and ended with a 90 minute panel discussion by a transplant surgeon, transplant nephrologist, and transplant coordinator. The participants were engaged in the discussions asking good questions and also providing each other with words of encouragement and reviewing their own experiences. Annually the Commission has supported programs for provider education. This year a program was developed with a target audience of dialysis technicians in July The content of the program was accredited by the American Nephrology Nurses Association to award 3.25 hours of continuing education credits. Topics included infection control practices in dialysis units, dialysis access complications, and hepatitis B and C. These topics were chosen based on areas of frequent citations noted on surveys of dialysis units in the Maryland area. The material was well received and presented in a case based format to allow for engagement of the audience. Dialysis technicians of varying years of experience were in attendance and felt the material to be useful and would impact on practice. 25 dialysis technicians were enrolled and we anticipate a larger audience with next year's program. Additionally, the Commission has fulfilled its community education responsibilities by surveying and educating facilities according to the promulgated regulations by the Commission on Kidney Disease, COMAR The Commission, public member volunteers, and patient advocates have addressed numerous groups in the renal community regarding sources for reimbursement for renal care, prevention of renal disease, transplantation criteria, and methods for reimbursement for life saving medications. 5

7 STATUS OF THE KIDNEY DISEASE PROGRAM he purpose of the Kidney Disease Program (KDP) is to provide financial assistance to certified beneficiaries for the treatment of ESRD (end stage renal disease). This stage of renal impairment is almost always irreversible and requires dialysis or kidney transplantation to maintain life. As a payer of last resort, the Program may provide financial assistance only after all other medical and federal insurance coverage has been pursued. Covered services include chronic maintenance, in-center and home dialysis, renal transplantation, approved inpatient and/or outpatient hospital care, physician and laboratory fees, and medications specified on the KDP Reimbursable Drug List and certain ancillary services which are directly attributable to the beneficiaries' ESRD. PROGRAM STATISTICS In Fiscal Year, 2017, the Kidney Disease Program provided coverage to approximately 1727 beneficiaries. KDP net expenditures for FY 2017 totaled$ 9,201,879. The KDP recovered $285,209 in premiums and $669,056 in provider refunds. Drug Rebate Recoveries totaled $1,787,288 in FY These recoveries are projected annually and are incorporated into the Program' s reimbursement budget. FISCAL YEAR 2017 ACCOMPLISHMENTS The Kidney Disease Program (KDP) enhanced the Program' s website with information and updates relative to the Program. The address of this website is gov /familyplanning/pages/kidneydisease.aspx. This website includes helpful information, such as: KDP notices of updates/changes, information resources, web links, phone numbers, e- 1ail address for questions about KDP, billing instructions, KDP COMAR regulations and the KDP drug " rormulary. This website will undergo continuing development in an effort to provide the renal community with the most up to date information available with regard to the Kidney Disease Program. Enhancements and system developments to the KDP electronic claims management system ( ecms) and the Conduent pharmacy point-of-sale system (POS) continue in an effort to provide more efficient and timelier processing of claims. These systems continue to allow KDP to accept and return HIP AA compliant transactions from Medicare trading partners and all participating providers. ESRD providers of service continue to be granted access to the KDP Portal. Approval of the required User Agreements, necessary to grant access, has improved to a 48 hour or less processing window. The website, to gain access to the KDP portal is This portal allows providers to verify claims' status and view detailed payment information, which includes, check numbers, check dates and voucher numbers. This information assists providers in maintaining an accurate and up to date accounts receivable system and minimizes duplicate billing. In addition, providers of service may access up to date eligibility information for all ESRD patients certified with the Kidney Disease Program of MD. The Board of Public Works (BPW) approved the first option period for TPL on June 8, 2016 to include KDP in Medicaid's HMS (Health Management Services) contract to gather third party information in an effort to maximize collection efforts and ensure that KDP is truly a payer of last resort. The current period expires on June 30, Work has initiated to modify the KDP eligibility file, develop a resource file and develop a COB Connect document to effectively transmit and receive records in the proper format to HMS..., anteon upgraded the entire ecms platform to be compatible with newer Windows version and.net J_rameworks. This upgrade has improved the security of the system. Upgrading the entire ecms platform improved the security, reliability and performance of ecms thus enhancing the efficiency and productivity of the system. 6

8 KDP, along with BCCDT and MADAP, has obtained a sole source contract with Santeon, the current KDP aims processing vendor, to continue the KDP claims functioning processes, financial payments and recoveries, in addition to reporting requirements. This 5 year contract covers the period of FY 2016 to FY Customer service in the areas of patient certification, accounts payable and accounts receivable continues to improve. KDP personnel strive to assist KDP recipients, in processing applications as quickly and efficiently as possible, adjudicate claims in a timely manner, provide assistance with program participation fees, and provide education to members of the renal community to assist them in receiving the most accurate information possible. Training sessions have been held with Free Standing Dialysis Unit (FSDU) social workers and Senior Health Insurance Program (SHIP) personnel in an effort to educate the ESRD personnel and community in the KDP patient certification process, advise those personnel of KDP, Medicare and Medicaid regulations, and address frequent problems and concerns occurring with those processes. PROJECTIONS FOR THE KIDNEY DISEASE PROGRAM The Kidney Disease Program continues to work with our contractor, Santeon, and data processing analysts and programmers to ensure compliance with federally mandated requirements. Santeon is upgrading the KDP Portal which will allow the portal to be a more user friendly information access system for providers of service, in addition to automating the KDP user agreement process. The portal upgrade is scheduled to be completed in FY KDP will continue to work with its colleagues in defining the best possible route to obtaining a new Maryland Medicaid Information System (MMIS III). Future plans are for the KDP electronic claims processing system to be incorporated into the new MMIS III. In addition, the Kidney Disease Program will continue to 'ork with the Commission on Kidney Disease to provide quality service to the end stage renal disease (ESRD) ~ patients in the State of Maryland and the ESRD community. 7

9 Kidney Dialysis Centers Administrators Nichelle Kavanaugh, Administrator (01) Timberly Cure, Administrator (02) Davita - Baltimore County Dialysis Facility Davita - Bertha Sirk Dialysis Facility 3689-A Offutt Rd York Road, Ste. 10 Randallstown, MD Baltimore, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Carol Miller, Adm inistrator (04) Angie Moore, Administrator (05) FMC - Baltimore Dialysis Center FMC - Camp Springs Dialysis Center 2801 Greenmount Ave., Ste St. Barnabas Road, Ste. A Baltimore, MD Suitland, MD Tele. (410) I Fax (410) Tele. (301) I Fax (301) Carol Miller, Administrator (06) Zaydah Sanders, Administrator (07) * FMC - Greater Baltimore Dialysis Center FMC - LaPlata Dialysis Center 1840 York Road, Ste. A LaPlata Road Lutherville, MD LaPlata, MD Tele. (410) I Fax (410) Tele. (301) /Fax (301) Angela Moore, Administrator (09) Tim Thomas, Administrator ( 11) FMC - Leonardtown Dialysis Center FMC - Washington Dialysis Center Merchants Lane 6420 Rockledge Dr. Ste Leonardtown, MD Bethesda, MD Tele. (301) I Fax (301) Tele. (301) I Fax (301) Jamie McNeill, Administrator (12) Juathawala Harris, Administrator (14) Bon Secours- Baltimore Dialysis Center FMC - Charing Cross Dialysis 2000 West Baltimore Street 5730 Executive Drive, Ste. 124 Baltimore, MD Catonsville, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Tracy Harmon, Administrator (15) Leticia Ozan-Nappier, Administrator (16) Davita - Carroll County Davita - Catonsville 193 Stoner Ave., Ste Sulphur Spring Road, Ste. 112 Westminster, MD Arbutus, MD Tele. (410) I Fax (410) Tele. (410) I (410) Ryan Silver, Administrator (20) Cherlyn Adams-Rahman, Administrator (21) FMC - Baltimore-Beltsville Davita - Landover Baltimore Avenue 1200 Mercantile Lane, Ste. 105 Beltsville, MD Landover, MD Tele. (301) I Fax (301) Tele. (301) I Fax (301) Georgia Echols, Administrator (22) Michelle Anderson, Administrator (23) USRC - Silver Hill FMC - Elkton 5652 Silver Hill Road 216 S. Bridge Street Forestville, MD Elkton, MD Tele. (301) I Fax (301) Tele. (410) I Fax (410) Olawanle Turton, Administrator (24) Hendra Ray, Administrator (25) Deer's Head Center Dialysis Unit Davita - Downtown Dialysis 351 Deer's Head Hospital Road 821 N. Eutaw Street, Suite 401 Salisbury, Maryland Baltimore, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Brian Fitzsimmons, Administrator (27) Genevieve Murray, Administrator (29) Davita Dialysis - Frederick Davita - Greenspring Dialysis Center 140 Thomas Johnson Drive, Ste Mt. Hope Drive, Ste. C Frederick, MD Baltimore, MD Tele. (301) I Fax (301) Tele. (410) I Fax (410) *Nursing Home Facility Facilities' number: 3, 8, JO 13, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, JOO, IOI, 102, 104, 105, 106, 109, 114,116, 117, 119, 120, 126, , 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

10 Kidney Dialysis Centers Administrators Bill Frederick, Administrator (30) DJ Tilva, Administrator (31) Holy Cross Hospital Dialysis Center Davita - Dialysis - Howard County 1500 Forest Glen Road 5999 Harpers Farm Road, Suite E 110 Silver Spring, MD Columbia, MD Tele. (301) I (301) Fax Tele. (410) I Fax (410) Catherine Avaricio, Administrator (33) Kris Peters, Administrator (34) IDF - Arundel Center IDF - Calvert Center 804 Landmark Dr., Ste West Dares Beach Road Glen Burnie, MD Prince Frederick, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Kathy Smith, Administrator (35) Lorelei Schild, Administrator (36) IDF - Parkview Center IDF - Chestnut Square Dialysis Ctr. 840 Hollins Street 3303 Chestnut Ave. Baltimore, MD Baltimore, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Rachel Soro-Hernandez, Administrator (39) Debbie Jones, Administrator (40) FKC - Orleans Street Davita - Largo 600 N. Wolf Street, Ste. 223 CMSC Mercantile Lane, Ste. 194 Baltimore, MD Landover, MD Tele. (410) I Fax (410) Tele. (301) I Fax (301) Debbie Jones, Administrator (41) Richard Kerby, Administrator (43) Davita - Laurel FMC of Hagerstown Laurel-Bowie Rd., Ste Oak Hill Avenue Laurel, MD Hagerstown, MD Tele. (301) I Fax (301) Tele. (301) Fax (301) Nancy Adams, Administrator (44) Chris Lanahan, Administrator (45) Western Maryland Regional Dialysis Center Davita - Mercy Dialysis Facility Willowbrook Rd. 315 North Calvert Street, Ste. 300 Cumberland, MD Baltimore, MD Tele. (240) I Fax (240) Tele. (410) I Fax (410) Angela Moore, Administrator (49) Kirsten Walker, Administrator (52) FMC - QCDC of Southern Maryland Davita - Renal Care Lanham 6357 Old Branch Avenue 4451 Parliament Pl., Ste. R Camp Spring, MD Lanham, MD Tele. (301) I Fax (301) Tele. (301) I Fax (301 ) Gary Smith, Administrator (53) Amy Brockston, Admin istrator (54) Davita - Berlin Dialysis Center Davita - Easton Dialysis 9952 North Main Street, Bldg., #3 500 Cadmus Lane, Ste. 201 Berlin, MD Easton, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Monique Russell, Administrator (57) Nichole Powell McBride, Administrator (58) Davita - Rockville Davita - Renal Care of Takoma Park Omega Drive, Ste University Boulevard, East Rockville, MD Hyattsville, MD Tele. (301) I Fax (240) Tele. (301) /Fax (301) Mary Smith, Administrator (61) Anahita Masoumi, Administrator (63) Davita - Whitesquare Dialysis Center UMMS Transplant 1 Nashua Court, Ste. E 22 S. Green Street, 2nd Floor Essex, MD Baltimore, MD Tele. (410) I Fax (410) Tele. (410) /Fax. (410) *Nursing Home Facility Facilities' number: 3, 8, JO 13, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, JOO, 101, 102, 104, 105, 106, 109, 114,116, 117, 119, 120, 126, , 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

11 Kidney Dialysis Centers Administrators Sherry Thomas, Administrator (66) Ryan Silver, Administrator (69) Davita - Harbor Park FMC - South Annapolis Dialysis Center 111 Cherry Hill Road 304 Harry S. Truman Pkwy., Stes. H - K Baltimore, MD Annapolis, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410)' Jaclyn Bannonrrerry Langbaumn Administrator (70) Linda Hunter, Administrator (71) Johns Hopkins Transplant Center USRC.- Oxon Hill Dialysis 600 N. Wolfe Street, Blalock Indian Head Highway Baltimore, MD Oxon Hill, MD Tele.(410) I Fax (443) Tele. (301) I Fax (301) Gloria Pittman, Administrator (72) Carol Miller, Administrator (73) ARA - Ellicott City Dialysis Center FMC - White Marsh 3419 Plumtree Drive, Ste Corporate Drive, Ste. K Ellicott City, MD White Marsh, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Angela Raley, Administrator (74) Heather Sconce, Administrator (75) Davita - Lakeside Dialysis Davita - Chestertown Dialysis Hospital Drive Ste. G Brown Street Clinton, MD Chestertown, MD Tele. (301) I Fax (301) Tele. (410) I Fax (410) Susan Howard, Administrator (76) * Janet Kisyombe, Administrator (77) * Davita - Southern Maryland Dialysis US Renal Care - N. Baltimore 9211 Stuart Lane, 4th Floor 2700 North Charles Street Clinton, MD Baltimore, MD Tele. (301) I Fax (301) Tele. (410) I Fax (410) Ashley Richburg, Administrator (79) Tee Tran, Administrator (82) Davita - Owings Mills Dialysis Davita - Wheaton Dialysis Center Dolfield Boulevard, Ste Georgia Avenue Owings Mills, MD Wheaton, MD Tele. (410) I Fax (410) Tele. (301) I Fax (301) Leah Luby, Administrator (85) Tim Thomas, Administrator (86) Davita - Falls Road Dialysis FMC - Wheaton Dialysis Center 1423 Clarkview Rd., Ste Veirs Mills Road Baltimore, MD Wheaton, MD Tele. (410) I Fax (410) Tele. (301) I Fax (301) Zaydah Sanders, Administrator (88) Tim Thomas, Administrator (89) FMC - Fort Washington Dialysis Center FMC - Rockville Old Fort Road 7524 Standish Place, Ste. 100 B Fort Washington, MD Rockville, MD Tele. (301) I Fax (301) Tele. (301) I Fax (301) Jameisha Rogers, Administrator (94) Donna Atwell, Administrator (95) Davita - 25th Street Dialysis Davita - Bel Air 920 East 25th Street 2225 Old Emmorton Road, Suite 105 Baltimore, Maryland Bel Air, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Njemmara Abba, Administrator (96) Carol Miller, Administrator (98) Davita - Silver Spring FMC of Porter Dialysis Rosedale 8040 Georgia Avenue 9411 Philadelphia Road, Suite A Silver Spring, MD Rosedale, MD Tele. (301) I Fax (301) Tele. (410) I Fax (410) *Nursing Home Facility Facilities' number: 3, 8, JO 13, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, 100, IOI, 102, 104, 105, 106, 109, 114,116, ll7, Jl9, 120, 126, , 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

12 Kidney Dialysis Centers Administrators Christian Wood, Administrator (99) Carol Miller, Administrator (103) Davita - Harford Road Dialysis FMC - Porter Dundalk 5800 Harford Road 1107 North Point Blvd, Suite 201 Baltimore, MD Dundalk, MD Tele. (410) I Fax (410) Tele. (410) I Fax (410) Wendy Riccitelli, Administrator (107) Regina Askew-Gibbs, Administrator (108) Davita - Pasadena FMC Dialysis Services of P.G. County 8037 Governor Richie Hwy., Ste A 7558 Annapolis Road, Suite C-1 Pasadena, MD Lanham, MD Tele.(410) / Fax(410) Tele. (301) Fax (301) Jacquelyn Allen, Administrator ( 110) * Scott Anderson, Administrator ( 111) Davita - Du laney Towson Dialysis Center FMC - Chillum - Hyattsville 113 West Road, Suite Chillum Road Towson, MD Hyattsville, Maryland Tele. (410) / Fax (410) Tele.(301) /Fax (301) Donna Atwell, Administrator (112) Zaydah Sanders, Administrator ( 113) Davita - Dundalk FMC - Waldorf 14 Commerce Street 3510 Old Washington Road, Suite 300 Dundalk, Maryland Waldorf, MD Tele. (410) /Fax. (410) Tele. (301) /Fax (301) O Carol Miller, Administrator ( 115) JoAnne Mench, Administrator ( 118) * FMC of Porter Dialysis Pikesville ARA - Aldelphi, LLC 115 McHenry Avenue, Bedford Sq. 2, Ste. D 1801 Metzerott Road Pikesville, Maryland Adelphi, MD Tele. (410) /Fax (410) Tele. (301) Fax. (301) Delores Robertson, Administrator (121) Veronica Thomas, Administrator (122) Davita - Rivertowne Dialysis Davita Middlebrook 6192 Oxon Hill Rd. 1st Floor Middlebrook Rd., Ste. 160 Oxon Hill, MD Germantown, MD Tele: (301) / Fax. (301) Tele.(301) / Fax. (301) Brenda Shelley, Administrator (123) Richard Kerby, Administrator (124) Davita - Renal Care of Bowie FMC of Robinwood 4681 Telsa Drive, Suite G Medical Campus Rd., Ste. 149 Bowie, MD Hagerstowne, MD Tele.(301) / Fax. (301) Tele.(240) / Fax.(240) Brenda Childress, Administrator (125) Ashley Richburg, Administrator (128) FMC - Salisbury Davita - Cedar Lane 1340 South Division Street, Ste Cedar Lane, Ste. 101 Salisbury, MD Columbia, MD Tele. (410) / Fax.(410) Tele. (410) / Fax. (410) Zaydah Sanders, Administrator (129) Kathryn Humbertson, Administrator (131) FMC - Dialysis Services of Ft. Foote Davita - Catonsville North 8507 Oxon Hill Rd., Ste Baltimore National Pike Ft. Washington, MD Baltimore, MD Tele. (301) I Fax. (301) Tele.(410) / Fax. (410) Matthew Mercado, Administrator (132) Monifa Kopano, Administrator (133) Davita - Glen Burnie Davita - Windsor Dialysis 6934 Aviation Blvd., Ste. J-M 2707 Rolling Rd., Ste Glen Burnie, MD Windsor Mill, MD Tele.(410) /Fax. (410) Tele. (410) Fax. (410) * *Nursing Home Facility Facilities' number: 3, 8, 10 13, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, 100, 101, 102, 104, 105, 106, 109, 114,116, 117, 119, 120, 126, , 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

13 Kidney Dialysis Centers Administrators Johny Niles, Administrator (134) Jessica Jackson, Administrator (135) Holy Cross at Woodmore Davita - Pikesville Woodmore Road, Ste Reisterstown Rd, Ste. 100 Mitchellville, MD Pikesville, MD Tele.(301) /Fax. (301) Tele. (410) Fax. (410) Ryan Silver, Administrator (137) Sylvia Romero, Administrator (138) FMC - Anne Arundel Davita - Germantown 2032 Industrial Drive, Century Blvd., Ste. C Annapolis, MD Germantown, MD Tele. (410) Fax. (410) Tele. (301 ) Fax. (301) Ajii Balagot, Administrator (139) Sidi Owolabi, Administrator (140) Renal Care of Seat Pleasant USRC of Prince Frederick 6274 Central Ave. 205 Steeple Chase Drive, Ste. 201 Seat Pleasant, MD Prince Frederick, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) Heather Sconce, Administrator (141) Patricia McCune, Administrator (143) * Davita - Cambridge US Renal Care - West Baltimore 300 Byrn Street 22 S. Athol Ave. Cambridge, MD Baltimore, MD Tele. (410) Fax. (410) Tele.(410) Fax. (410) Jessica Cloud, Administrator (145) Chris Firl, Administrator (146) Davita - Aberdeen Dialysis IDF - Garrett Center 780 W. BelAir Avenue 888 Memorial Drive Aberdeen, MD Oakland, MD Tele.(410) Fax. (410) Tele. (301) Fax. (301) Tiffany Holt Fisher, Administrator (147) * Yolette Cox, Administrator (148) Davita - Seton Drive Davita - Northwest Dialysis Center 4800 Seton Drive 2245 Rolling Run Drive Ste. 1.Baltimore, MD Baltimore, MD Tele.(410) Fax. (410) (410) Fax. (410) Shannon Smith, Administrator (149) Ann Marie Darmody, Administrator (150) Davita - Ballenger Creek Davita - Kidney Home Center 5205 Chairman's Ct., Ste Rolling Run Dr., Ste. 4 Frederick, MD Baltimore, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) Andrew Riddle, Administrator (151) Nichole Powell-McBride, Administrator (153) Davita - District Heights Davita - Calverton 5701 Silver Hill Road 4780 Corridor Place, Ste. C Forestville, MD Beltsville, MD Tele. (301) Fax. (301) Tele. (301) Fax. (301) Juan Canlas, Administrator (154) * Clancy Cruz, Administrator (155) Advanced Dialysis Center - Easton USRC - Care Center Clinton 610 Dutchman's Lane 7201 Old Alexandria Ferry Rd., St. 6 Easton, MD Clinton, MD Tele. (410) Fax. (410) Tele. (301) Fax. (301) *Nursing Home Facility Faciliiies' number: 3, 8, JO 13, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,6768, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, 100, 101, 102, 104, 105, 106, 109, 114,116, 117, 119, 120, 126, , 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

14 Kidney Dialysis Centers Administrators Diane Hillocks, Administrator (156) Angelica Bentley, Administrator (157) ARA Universal Davita - Washington County Dialysis (PD) 3804 Bladensburg Road 246 Eastern Blvd.N, Ste 105 Cottage City, MD Hagerstown, MD Tele. (301) Fax. (301 ) Tele. (301) Fax. (301) Debra McConnell, Administrator (158) Donna Atwell, Administrator (159) FMC - N. Salisbury Davita - Forest Landing 1314 Belmont Ave., Ste Commerce Rd., Ste. 1 Salisbury, MD Forest Hill, MD Tele. (410) Fax. (410) Tele. (410) Fax. (410) Debra McConnell, Administrator (160) Maggie Everitt, Administrator (162) FMC - Princess Anne Davita - Charles County Dialysis Elm Street 4475 Regency Pl., Ste Princess Anne, MD White Plains, MD Tele. (410) Fax. (410) Tele. (301) Fax. (301) Donna Atwell, Administrator (163) Desiree Smith, Administrator (164) Davita - Deer Creek Home Training Davita - PG County South 602 S. Atwood Road, Ste Saint Barnabas Road Bel Air, MD Oxon Hill, MD Tele. (410) Fax. (410) Tele. (301) Fax. (301) Krista Michael, Administrator (165) Carol Miller, Administrator (166) Davita - Glen Burnie Home FMC - Middle River 6934 Aviation Blvd., Ste. H 110 Stemme rs Run Road Glen Burnie, MD Baltimore, MD Tele. (410) Fax. (410) Tele. (410) Fax. (410) Njemmara Abba, Administrator (167) Ryan Silver, Administrator (168) Davita Rock Creek FMC - Odenton 5544 Norbeck Rd Annapolis Road Rockville, MD Odenton, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) Yvonne Covington, Administrator (169) Brenda Shelley, Administrator (170) Davita Coral Hills Davita Annapolis 4797 Marlboro Pike 1127 West Street, Ste. 100 Capitol Heights, MD Annapolis, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) Julie Pompei, Administrator (171) * Linda Hunter, Administrator (172) ARA - Ellicott Kidney Center USRC - New Carrollton 3000 North Ridge Road 8319 Annapolis Road Ellicott City, MD New Carrollton, MD Tele. (410) Fax. (410) Tele. (301) Fax. (301) Shannon Smith, Administrator (173) Heather Sconce, Administrator (174) Davita Eastern Boulevard Davita Queen Anne Home Training 246 Eastern Blvd., N, Ste Shoreway Dr., Ste. 330 Hagerstown, MD Queenstown, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) Towanda Maker, Administrator (175) Ora Hardy, RN, Administrator (176) NxStage Greenbelt Davita Forestville Dialysis Derekwood Lane, Ste Donnell Drive Lanham, MD Forestville, MD Tele. (240) Fax. (301) Tele. (301) Fax. (301) *Nursing Home Facility Facilities' number: 3, 8, 1013, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, JOO, 101, 102, 104, 105, 106, 109, 114,116, 117, 119, 120, 126, , 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

15 Kidney Dialysis Centers Administrators Mike Przywara, Administrator (178) Danielle Duerling, Administrator (179) NxStage Baltimore West NxStage Baltimore North 809 Pinnacle Dr., Ste. A-C 1940 Greenspring Dr. Ste. H Linthicum, MD Timonium, MD Tele. (410) Fax. (410) Tele. ( Fax. ( 410) Susan Howard, Administrator (180) Kirsten Walker, Administrator (181) Davita Brandywine Davita Glenarden 7651 Matapeake Business Drive, Ste Philadelphia Ct., Ste. A Brandywine, MD Lanham, MD Tele. (301) Fax. (301) Tele. (301 ) Fax. (301 ) Carol Miller, Administrator (182) Carol Miller, Administrator (183) FMC Towson FMC Cross Keys 7801 York Road, Ste Hamill Road, Ste. 200 Towson, MD Quandrangle Bldg, East Tele.(410) Fax. (410) Baltimore, MD Tele. (410) Fax. (410) Kelly Weaver, Administrator (184) Kelly Weaver, Administrator (185) FMC Nashua Court FMC Fleet Street 3 Nashua Court, Ste. H-K 3700 Fleet Street, #102 Baltimore, MD Baltimore, MD Tele. (410) Fax. (410) Tele. (410) Fax. ( Kelly Weaver, Administrator (186) Kelly Weaver, Administrator (187) FMC Caroline Street FMC Broadway Street 407 N. Caroline Street 1900 N. Broadway Street Baltimore, MD Baltimore, MD Tele. (410) Fax. (410) Tele. (410) Fax. (410) Kelly Weaver, Administrator (188) Kelly Weaver, Administrator (189) FMC Merritt Boulevard FMC Greenspring Drive 1736 Merritt Boulevard 1940 Greenspring Drive, Stes. A&B Baltimore, MD Timonium, MD Tele. (410) Fax. (410) Tele. (410) Fax. (410) Ryan Silver, Administrator (190) Pat Carpenter, Administrator (191) FMC Brightseat FMC Franklin Square Home 835 Brightseat Road 5233 King Ave, Ste. 116 Hyattsville, MD Rosedale, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) Krista Michael, Administrator (192) Deborah Jones, Administrator (193) Davita Kidney Home Downtown Davita Largo Town Center 200 Saint Paul Street, Ste Merchantile Lane, Ste. 104 Baltimore, MD Largo, MD Tele. (410) Fax. (410) Tele. (301) Fax. (301) Ora Hardy, Administrator (194) Nancy Clark, Administrator (195) Davita Greenbelt Home Training Davita Briggs Chaney Greenbelt Road, Ste Outlet Drive Lanham, MD Silver Spring, MD Tele. (301) Fax. (301) Tele. (301) Fax. (301) 890~1505 Susan Howard, Administrator (196) Matthew Mercado, Administrator (197) Davita Friendly Farms Home Davita Odenton Fort Washington Road, Ste Blair Drive, Ste. L&M Fort Washington, MD Odenton, MD Tele. (301) Fax. (301) Tele. (410) Fax. (410) *Nursing Home Facility Facilities' number: 3, 8, JO 13, J7, J8, J9,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 5J, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 8J, 83, 84, 87,90, 9J, 92,93, 97, JOO, JOI, J02, 104, J05, J06, 109, 114,116, 117, 119, J20, 126, J27 130, 136, 142, 144 and J52, J6J, J7, J98 are closed or uncertified.

16 Kidney Dialysis Centers Administrators Twana Bethea, Administrator (199) Davita Mt. Rainier 2303 Varnum Street Mount Rainier, MD Tele. (301) Fax. (301) Timberly Taylor-Cure, RN, Administrator (200) Davita - Good Samaritan Dialysis 5601 Loch Raven Blvd. Baltimore, MD Tele. (443) Fax. (443) *Nursing Home Facility Facilities' number: 3, 8, JO 13, 17, 18, 19,26, 28, 32, 37, 38,42,,46, 47, 48, 50, 51, 55, 56, 59, 60, 62, 64, 65,67 68, 78, 80, 81, 83, 84, 87,90, 91, 92,93, 97, 100, 101, 102, 104, 105, 106, 109, 114,116, 117, 119, 120, 126, , 136, 142, 144 and 152, 161, 17, 198 are closed or uncertified.