Attached is a Facility Closure Checklist to help you complete all necessary steps in accordance with the Centers for Medicare and Medicaid Services (CMS) Conditions for Coverage for End Stage Renal Disease (ESRD) Facilities.

Please ensure that these steps are completed as soon as possible and notify the Network accordingly once completed. Once we are able to determine that the 2744, 2728, and 2746 forms are completed and that there are no patients left at the facility, we will close out the facility in CROWNWeb. Please provide the official facility close date as well.

Should you have any questions or need assistance with any of the steps on the checklist, please contact the Network with your clarification question and relevant contact information.

Also for temporary closure please see