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

GOVERNOR'S ANNUAL REPORT 2017 r \_ MARYLAND COMMISSION ON KIDNEY DISEASE and TRANSPLANTATION 4201 PATTERSON AVENUE BALTIMORE, MD 21215 Phone number 410-764-4799 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

MARYLAND COMMISSION ON KIDNEY DISEASE REPORT TO THE GOVERNOR January 1, 2017 - 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

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, 2017. 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 21202 Davita Briggs Chaney 13875 Outlet Drive Promod Duggal, M.D. Silver Spring, MD 20904 Davita Friendly Farms Home 10905 Ft. Washington Rd. Roopali Gupta, M.D. Fort Washington, MD 20744 Davita Odenton 1360 Blair Drive, Ste. L&M Kenneth Yim, M.D. Odenton, MD 21113 Davita Largo Town Center 1101 Merchantile Lane, Ste. 104 Anand Desai, M.D. Largo, MD 20774 Davita Greenbelt Home Training 10210 Greenbelt Road, Ste. 100 Promod Duggal, M.D. Lanham, M.D. 20706 Davita Mt. Rainier 2303 Varnum Street Dr. Aroti Hegde Mt. Rainier, MD 20712 2

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

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

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 2017. 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 10.30.01. 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

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 2017. 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 https://mmcp.health.maryland. 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 www.dhmheclaims.org. 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, 2018. 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

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 2021. 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 2018. 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

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. 5820 York Road, Ste. 10 Randallstown, MD 21133 Baltimore, MD 21212 Tele. (410) 922-2475 I Fax (410) 922-1506 Tele. (410) 532-9311 I Fax (410) 532-5833 Carol Miller, Adm inistrator (04) Angie Moore, Administrator (05) FMC - Baltimore Dialysis Center FMC - Camp Springs Dialysis Center 2801 Greenmount Ave., Ste. 2833 3700 St. Barnabas Road, Ste. A Baltimore, MD 21218 Suitland, MD 20746 Tele. (410) 235-5659 I Fax (410) 243-0102 Tele. (301) 423-5657 I Fax (301) 423-4127 Carol Miller, Administrator (06) Zaydah Sanders, Administrator (07) * FMC - Greater Baltimore Dialysis Center FMC - LaPlata Dialysis Center 1840 York Road, Ste. A 10210 LaPlata Road Lutherville, MD 21093 LaPlata, MD 20646 Tele. (410) 560-1499 I Fax (410) 560-2997 Tele. (301) 392-3007 /Fax (301) 392-3441 Angela Moore, Administrator (09) Tim Thomas, Administrator ( 11) FMC - Leonardtown Dialysis Center FMC - Washington Dialysis Center 40865 Merchants Lane 6420 Rockledge Dr. Ste. 1100 Leonardtown, MD 20650 Bethesda, MD 20817 Tele. (301) 870-2174 I Fax (301) 475-6525 Tele. (301) 652-2554 I Fax (301) 718-0194 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 21223 Catonsville, MD 21228 Tele. (410) 362-3660 I Fax (410) 362-3408 Tele. (410) 747-9356 I Fax (410) 747-3660 Tracy Harmon, Administrator (15) Leticia Ozan-Nappier, Administrator (16) Davita - Carroll County Davita - Catonsville 193 Stoner Ave., Ste. 120 1581 Sulphur Spring Road, Ste. 112 Westminster, MD 21157 Arbutus, MD 21227 Tele. (410) 871-1762 I Fax (410) 871-1766 Tele. (410) 242-7766 I (410) 242-8793 Ryan Silver, Administrator (20) Cherlyn Adams-Rahman, Administrator (21) FMC - Baltimore-Beltsville Davita - Landover 10701 Baltimore Avenue 1200 Mercantile Lane, Ste. 105 Beltsville, MD 20705 Landover, MD 20774 Tele. (301) 595-0263 I Fax (301) 595-3724 Tele. (301) 322-2861 I Fax (301) 322-5829 Georgia Echols, Administrator (22) Michelle Anderson, Administrator (23) USRC - Silver Hill FMC - Elkton 5652 Silver Hill Road 216 S. Bridge Street Forestville, MD 20747 Elkton, MD 21921 Tele. (301) 967-9891 I Fax (301) 967-6964 Tele. (410) 620-3911 I Fax (410) 620-3910 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 21802-2018 Baltimore, MD 21201 Tele. (410) 543-4085 I Fax (410) 543-4140 Tele. (410) 383-3456 I Fax (410) 383-3468 Brian Fitzsimmons, Administrator (27) Genevieve Murray, Administrator (29) Davita Dialysis - Frederick Davita - Greenspring Dialysis Center 140 Thomas Johnson Drive, Ste. 100 4701 Mt. Hope Drive, Ste. C Frederick, MD 21702 Baltimore, MD 21215 Tele. (301) 695-0900 I Fax (301) 695-2808 Tele. (410) 585-0467 I Fax (410) 585-0491 *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, 127 130, 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

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 20910 Columbia, MD 21044 Tele. (301) 754-7560 I (301) Fax 754-7554 Tele. (410) 997-4244 I Fax (410) 730-8235 Catherine Avaricio, Administrator (33) Kris Peters, Administrator (34) IDF - Arundel Center IDF - Calvert Center 804 Landmark Dr., Ste. 112 225 West Dares Beach Road Glen Burnie, MD 21061 Prince Frederick, MD 20678 Tele. (410) 768-5722 I Fax (410) 768-4362 Tele. (410) 535-6300 I Fax (410) 535-6555 Kathy Smith, Administrator (35) Lorelei Schild, Administrator (36) IDF - Parkview Center IDF - Chestnut Square Dialysis Ctr. 840 Hollins Street 3303 Chestnut Ave. Baltimore, MD 21201 Baltimore, MD 21211 Tele. (410) 468-0900 I Fax (410) 468-0922 Tele. (410) 366-5400 I Fax (410) 235-9874 Rachel Soro-Hernandez, Administrator (39) Debbie Jones, Administrator (40) FKC - Orleans Street Davita - Largo 600 N. Wolf Street, Ste. 223 CMSC2 1300 Mercantile Lane, Ste. 194 Baltimore, MD 21287 Landover, MD 20774 Tele. (410) 327-0273 I Fax (410) 327-0382 Tele. (301) 925-4100 I Fax (301) 925-4810 Debbie Jones, Administrator (41) Richard Kerby, Administrator (43) Davita - Laurel FMC of Hagerstown 14631 Laurel-Bowie Rd., Ste. 100 12931 Oak Hill Avenue Laurel, MD 20707 Hagerstown, MD 21742 Tele. (301) 725-3559 I Fax (301) 725-3599 Tele. (301) 797-2311 Fax (301) 739-2770 Nancy Adams, Administrator (44) Chris Lanahan, Administrator (45) Western Maryland Regional Dialysis Center Davita - Mercy Dialysis Facility 12502 Willowbrook Rd. 315 North Calvert Street, Ste. 300 Cumberland, MD 21502 Baltimore, MD 21202 Tele. (240) 964-8600 I Fax (240) 964-8601 Tele. (410) 332-1122 I Fax (410) 332-1151 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 20748 Lanham, MD 20706 Tele. (301) 449-4166 I Fax (301) 449-7434 Tele. (301) 429-7300 I Fax (301 ) 459-2041 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 21811 Easton, MD 21601 Tele. (410) 641-1321 I Fax (410) 641-1538 Tele. (410) 822-8659 I Fax (410) 822-5138 Monique Russell, Administrator (57) Nichole Powell McBride, Administrator (58) Davita - Rockville Davita - Renal Care of Takoma Park 15204 Omega Drive, Ste. 110 1502 University Boulevard, East Rockville, MD 20850 Hyattsville, MD 20783 Tele. (301) 947-2427 I Fax (240) 683-2440 Tele. (301) 408-1202 /Fax (301) 434-9278 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 21221 Baltimore, MD 21201 Tele. (410) 687-5580 I Fax (410) 687-8559 Tele. (410) 328-1715/Fax. (410) 328-1798 *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, 127 130, 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

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 21225 Annapolis, MD 21401 Tele. (410) 354-3037 I Fax (410) 354-3095 Tele. (410) 224-3604 I Fax (410)'224-8341 Jaclyn Bannonrrerry Langbaumn Administrator (70) Linda Hunter, Administrator (71) Johns Hopkins Transplant Center USRC.- Oxon Hill Dialysis 600 N. Wolfe Street, Blalock 657 5410 Indian Head Highway Baltimore, MD 21287 Oxon Hill, MD 20745 Tele.(410) 955-2575 I Fax (443) 287-6717 Tele. (301) 749-9307 I Fax (301) 749-9419 Gloria Pittman, Administrator (72) Carol Miller, Administrator (73) ARA - Ellicott City Dialysis Center FMC - White Marsh 3419 Plumtree Drive, Ste. 103-106 8013 Corporate Drive, Ste. K Ellicott City, MD 21042 White Marsh, MD 21236 Tele. (410) 750-8426 I Fax (410) 750-8428 Tele. (410) 931-2478 I Fax (410) 931-2576 Angela Raley, Administrator (74) Heather Sconce, Administrator (75) Davita - Lakeside Dialysis Davita - Chestertown Dialysis 10401 Hospital Drive Ste. G-02 100 Brown Street Clinton, MD 20735 Chestertown, MD 21620 Tele. (301) 856-6550 I Fax (301) 856-5693 Tele. (410) 778-9555 I Fax (410) 778-9623 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 20735 Baltimore, MD 21218 Tele. (301) 856-6602 I Fax (301) 856-6623 Tele. (410) 243-4193 I Fax (410) 243-4196 Ashley Richburg, Administrator (79) Tee Tran, Administrator (82) Davita - Owings Mills Dialysis Davita - Wheaton Dialysis Center 11221 Dolfield Boulevard, Ste. 118 11941 Georgia Avenue Owings Mills, MD 21117 Wheaton, MD 20902 Tele. (410) 363-2019 I Fax (410) 363-2047 Tele. (301) 949-9620 I Fax (301) 949-9783 Leah Luby, Administrator (85) Tim Thomas, Administrator (86) Davita - Falls Road Dialysis FMC - Wheaton Dialysis Center 1423 Clarkview Rd., Ste. 500 11160 Veirs Mills Road Baltimore, MD 21209 Wheaton, MD 20902 Tele. (410) 828-4643 I Fax (410) 823-8305 Tele. (301) 962-7282 I Fax (301) 962-7285 Zaydah Sanders, Administrator (88) Tim Thomas, Administrator (89) FMC - Fort Washington Dialysis Center FMC - Rockville 12780 Old Fort Road 7524 Standish Place, Ste. 100 B Fort Washington, MD 20744 Rockville, MD 20855 Tele. (301) 203-9010 I Fax (301) 203-9014 Tele. (301) 610-0711 I Fax (301) 610-0681 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 21218 Bel Air, MD 21014 Tele. (410) 235-1611 I Fax (410) 235-3721 Tele. (410) 515-2078 I Fax (410) 515-3425 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 20910 Rosedale, MD 21237 Tele. (301) 608-8961 I Fax (301) 608-8966 Tele. (410) 918-0991 I Fax (410) 918-0992 *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, 127 130, 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

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 21214 Dundalk, MD 21224 Tele. (410) 444-1544 I Fax (410) 444-2787 Tele. (410) 288-2010 I Fax (410) 288-2014 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 21122 Lanham, MD 20784 Tele.(410) 590-4615/ Fax(410) 766-6718 Tele. (301) 429-3555 Fax (301) 429-8810 Jacquelyn Allen, Administrator ( 110) * Scott Anderson, Administrator ( 111) Davita - Du laney Towson Dialysis Center FMC - Chillum - Hyattsville 113 West Road, Suite 201 2426 Chillum Road Towson, MD 21204 Hyattsville, Maryland 20769 Tele. (410) 825-3690/ Fax (410) 825-3697 Tele.(301) 927-8808/Fax (301) 927-8809 Donna Atwell, Administrator (112) Zaydah Sanders, Administrator ( 113) Davita - Dundalk FMC - Waldorf 14 Commerce Street 3510 Old Washington Road, Suite 300 Dundalk, Maryland 21222 Waldorf, MD 20603 Tele. (410) 284-9000/Fax. (410) 284-5584 Tele. (301) 870-0220/Fax (301) 870-671 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 21208 Adelphi, MD 20783 Tele. (410) 484-3127/Fax (410) 484-3128 Tele. (301) 434-1884 Fax. (301) 434-1885 Delores Robertson, Administrator (121) Veronica Thomas, Administrator (122) Davita - Rivertowne Dialysis Davita Middlebrook 6192 Oxon Hill Rd. 1st Floor 12401 Middlebrook Rd., Ste. 160 Oxon Hill, MD 20745 Germantown, MD 20874 Tele: (301) 839-3443/ Fax. (301) 839-6521 Tele.(301) 540-6020/ Fax. (301) 540-6030 Brenda Shelley, Administrator (123) Richard Kerby, Administrator (124) Davita - Renal Care of Bowie FMC of Robinwood 4681 Telsa Drive, Suite G 11110 Medical Campus Rd., Ste. 149 Bowie, MD 20715 Hagerstowne, MD 21742 Tele.(301) 809-5342/ Fax. (301) 809-5539 Tele.(240) 313-9620/ Fax.(240) 313-9630 Brenda Childress, Administrator (125) Ashley Richburg, Administrator (128) FMC - Salisbury Davita - Cedar Lane 1340 South Division Street, Ste. 302 6334 Cedar Lane, Ste. 101 Salisbury, MD 21804 Columbia, MD 21044 Tele. (410) 742-1800/ Fax.(410) 548-1288 Tele. (410) 531-5390/ Fax. (410) 531-7958 Zaydah Sanders, Administrator (129) Kathryn Humbertson, Administrator (131) FMC - Dialysis Services of Ft. Foote Davita - Catonsville North 8507 Oxon Hill Rd., Ste. 100 5401 Baltimore National Pike Ft. Washington, MD 20744 Baltimore, MD 21229 Tele. (301) 686-0802 I Fax. (301) 686-0807 Tele.(410) 869-4618/ Fax. (410) 869-4704 Matthew Mercado, Administrator (132) Monifa Kopano, Administrator (133) Davita - Glen Burnie Davita - Windsor Dialysis 6934 Aviation Blvd., Ste. J-M 2707 Rolling Rd., Ste 104-105 Glen Burnie, MD 21061 Windsor Mill, MD 21244 Tele.(410) 553-6951 /Fax. (410) 766-0513 Tele. (410) 944-2649 Fax. (410) 944-2726 * *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, 127 130, 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

Kidney Dialysis Centers Administrators Johny Niles, Administrator (134) Jessica Jackson, Administrator (135) Holy Cross at Woodmore Davita - Pikesville 11721 Woodmore Road, Ste. 190 6609 Reisterstown Rd, Ste. 100 Mitchellville, MD 20721 Pikesville, MD 21215 Tele.(301) 390-7270 /Fax. (301) 390-9076 Tele. (410) 358-1745 Fax. (410) 358-1526 Ryan Silver, Administrator (137) Sylvia Romero, Administrator (138) FMC - Anne Arundel Davita - Germantown 2032 Industrial Drive, 20111 Century Blvd., Ste. C Annapolis, MD 21401 Germantown, MD 20874 Tele. (410)266-7288 Fax. (410) 266-3011 Tele. (301 )540-4601 Fax. (301) 540-2908 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 20743 Prince Frederick, MD 20678 Tele. (301) 336-6274 Fax. (301) 336-3946 Tele. (410) 414-8000 Fax. (410) 414-8080 Heather Sconce, Administrator (141) Patricia McCune, Administrator (143) * Davita - Cambridge US Renal Care - West Baltimore 300 Byrn Street 22 S. Athol Ave. Cambridge, MD 21613 Baltimore, MD 21229 Tele. (410) 228-9024 Fax. (410) 228-1393 Tele.(410) 947-3227 Fax. (410) 947-3711 Jessica Cloud, Administrator (145) Chris Firl, Administrator (146) Davita - Aberdeen Dialysis IDF - Garrett Center 780 W. BelAir Avenue 888 Memorial Drive Aberdeen, MD 21001 Oakland, MD 21550 Tele.(410) 273-9333 Fax. (410) 273-9334 Tele. (301) 334-8955 Fax. (301) 334-8765 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 21215 Baltimore, MD 21244 Tele.(410) 585-0446 Fax. (410) 585-0448 (410) 265-0158 Fax. (410) 944-4686 Shannon Smith, Administrator (149) Ann Marie Darmody, Administrator (150) Davita - Ballenger Creek Davita - Kidney Home Center 5205 Chairman's Ct., Ste. 101 2245 Rolling Run Dr., Ste. 4 Frederick, MD 21703 Baltimore, MD 21244 Tele. (301) 662-6572 Fax. (301) 644-0676 Tele. (410) 265-6515 Fax. (410) 944-4686 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 20747 Beltsville, MD 20705 Tele. (301) 817-0010 Fax. (301) 817-0019 Tele. (301) 595-0231 Fax. (301) 595-3439 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 21601 Clinton, MD 20735 Tele. (410) 820-9873 Fax. (410) 820-9875 Tele. (301) 877-3263 Fax. (301) 877-9277 *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, 127 130, 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

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 20722 Hagerstown, MD 21740 Tele. (301) 277-2704 Fax. (301 )277-2712 Tele. (301) 797-7839 Fax. (301) 393-9046 Debra McConnell, Administrator (158) Donna Atwell, Administrator (159) FMC - N. Salisbury Davita - Forest Landing 1314 Belmont Ave., Ste. 304 2220 Commerce Rd., Ste. 1 Salisbury, MD 21804 Forest Hill, MD 21050 Tele. (410) 860-6650 Fax. (410) 860-4766 Tele. (410) 638-6020 Fax. (410) 638-7180 Debra McConnell, Administrator (160) Maggie Everitt, Administrator (162) FMC - Princess Anne Davita - Charles County Dialysis 12185 Elm Street 4475 Regency Pl., Ste. 102-103 Princess Anne, MD 21853 White Plains, MD 20695 Tele. (410) 651-1056 Fax. (410) 651-1057 Tele. (301) 932-9874 Fax. (301) 638-2846 Donna Atwell, Administrator (163) Desiree Smith, Administrator (164) Davita - Deer Creek Home Training Davita - PG County South 602 S. Atwood Road, Ste. 106 5442 Saint Barnabas Road Bel Air, MD 21014 Oxon Hill, MD 20745 Tele. (410) 838-4613 Fax. (410) 828-4924 Tele. (301) 894-0572 Fax. (301) 630-1389 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 21061 Baltimore, MD 21221 Tele. (410) 760-4976 Fax. (410) 761-1040 Tele. (410) 238-7393 Fax. (410) 238-7609 Njemmara Abba, Administrator (167) Ryan Silver, Administrator (168) Davita Rock Creek FMC - Odenton 5544 Norbeck Rd. 1105 Annapolis Road Rockville, MD 20853 Odenton, MD 21113 Tele. (301) 460-2090 Fax. (301) 460-2094 Tele. (410) 672-8024 Fax. (410) 672-8960 Yvonne Covington, Administrator (169) Brenda Shelley, Administrator (170) Davita Coral Hills Davita Annapolis 4797 Marlboro Pike 1127 West Street, Ste. 100 Capitol Heights, MD 20743 Annapolis, MD 21401 Tele. (301) 420-1513 Fax. (301) 420-3912 Tele. (410) 626.6139 Fax. (410) 268-1294 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 21043 New Carrollton, MD 20784 Tele. (410) 465-0273 Fax. (410) 465-0360 Tele. (301) 459-1505 Fax. (301) 459-1385 Shannon Smith, Administrator (173) Heather Sconce, Administrator (174) Davita Eastern Boulevard Davita Queen Anne Home Training 246 Eastern Blvd., N, Ste. 105 125 Shoreway Dr., Ste. 330 Hagerstown, MD 21740 Queenstown, MD 21658 Tele. (301) 745-4251 Fax. (301) 797-4637 Tele. (410) 827-4527 Fax. (410) 827-3148 Towanda Maker, Administrator (175) Ora Hardy, RN, Administrator (176) NxStage Greenbelt Davita Forestville Dialysis 10003 Derekwood Lane, Ste. 100 3424 Donnell Drive Lanham, MD 20706 Forestville, MD 20747 Tele. (240) 544-0811 Fax. (301) 577-0600 Tele. (301) 736-3180 Fax. (301) 736-1704 *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, 127 130, 136, 142, 144and152, 161, 17, 198 are closed or uncertified.

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 21090 Timonium, MD 21093 Tele. (410)864-9800 Fax. (410) Tele. ( 410-246-9020 Fax. ( 410) Susan Howard, Administrator (180) Kirsten Walker, Administrator (181) Davita Brandywine Davita Glenarden 7651 Matapeake Business Drive, Ste. 206 9701 Philadelphia Ct., Ste. A Brandywine, MD 20613 Lanham, MD 20706 Tele. (301)782-7863 Fax. (301)782-3731 Tele. (301 )918-3830 Fax. (301 )306-5129 Carol Miller, Administrator (182) Carol Miller, Administrator (183) FMC Towson FMC Cross Keys 7801 York Road, Ste. 150 2 Hamill Road, Ste. 200 Towson, MD 21204 Quandrangle Bldg, East Tele.(410)321-0853 Fax. (410) 321-1932 Baltimore, MD 21210 Tele. (410)323-4658 Fax. (410) 323-4931 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 21221 Baltimore, MD 21224 Tele. (410) 686-1279 Fax. (410) 686-1216 Tele. (410) 276-1680 Fax. (410-276-1967 Kelly Weaver, Administrator (186) Kelly Weaver, Administrator (187) FMC Caroline Street FMC Broadway Street 407 N. Caroline Street 1900 N. Broadway Street Baltimore, MD 21231 Baltimore, MD 21213 Tele. (410) 537-5830 Fax. (410) 522-1596 Tele. (410) 261-3252 Fax. (410) 467-0148 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 21222 Timonium, MD 21093 Tele. (410) 284-2751 Fax. (410) 284-2945 Tele. (410)252-2140 Fax. (410) 252-2164 Ryan Silver, Administrator (190) Pat Carpenter, Administrator (191) FMC Brightseat FMC Franklin Square Home 835 Brightseat Road 5233 King Ave, Ste. 116 Hyattsville, MD 20785 Rosedale, MD 21237 Tele. (301) 333-5186 Fax. (301) 350-4823 Tele. (410) 391-5836 Fax. (410) 391-5837 Krista Michael, Administrator (192) Deborah Jones, Administrator (193) Davita Kidney Home Downtown Davita Largo Town Center 200 Saint Paul Street, Ste. 5 1101 Merchantile Lane, Ste. 104 Baltimore, MD 21202 Largo, MD 20774 Tele. (410) 244-5638 Fax. (410) 244-6405 Tele. (301) 341-7480 Fax. (301) 773-7206 Ora Hardy, Administrator (194) Nancy Clark, Administrator (195) Davita Greenbelt Home Training Davita Briggs Chaney 10210 Greenbelt Road, Ste. 100 13875 Outlet Drive Lanham, MD 20706 Silver Spring, MD 20904 Tele. (301) 794-0142 Fax. (301) 794-4857 Tele. (301) 890-8976 Fax. (301) 890~1505 Susan Howard, Administrator (196) Matthew Mercado, Administrator (197) Davita Friendly Farms Home Davita Odenton 10905 Fort Washington Road, Ste. 307 1360 Blair Drive, Ste. L&M Fort Washington, MD 20744 Odenton, MD 21113 Tele. (301) 292-0540 Fax. (301) 292-3493 Tele. (410) 674-3918 Fax. (410) 672-8947 *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.

Kidney Dialysis Centers Administrators Twana Bethea, Administrator (199) Davita Mt. Rainier 2303 Varnum Street Mount Rainier, MD 20712 Tele. (301) 277-5350 Fax. (301) 985-6875 Timberly Taylor-Cure, RN, Administrator (200) Davita - Good Samaritan Dialysis 5601 Loch Raven Blvd. Baltimore, MD 21239 Tele. (443) 444-4099 Fax. (443) 444-4098 *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, 127 130, 136, 142, 144 and 152, 161, 17, 198 are closed or uncertified.