Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 012507 (X3) Date Survey Completed 08/15/2025
Name of Provider or Supplier Fresenius Kidney Care Mobile Street Address, City, State 2620 Old Shell Road, Mobile, AL
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
V0113 IC-WEAR GLOVES/HAND HYGIENE
CFR(s): 494.30(a)(1)

Wear disposable gloves when caring for the patient or touching the patient's equipment at the dialysis station. Staff must remove gloves and wash hands between each patient or station.


This STANDARD is not met as evidenced by:
Based on observation, interview, and policy review, the facility failed to ensure proper hand hygiene was performed during central venous catheter access for one of one patient (Patient (P)7) observed with a central venous catheter. Failure to perform proper hand hygiene has the potential to place all patients and visitors at risk for cross contamination, resulting in increased infections to all 105 patients receiving dialysis at the facility. Findings include: During an observation on 08/14/25 at 10:45 AM, Registered Nurse (RN)7 was observed accessing P13's central venous catheter for dialysis treatment. RN9 repeatedly used the hand sanitizer that was mounted on the patient's dialysis machine at the next patient's station instead of using the hand sanitizer mounted on P13's dialysis machine. During an interview on 08/14/25 at 11:00 AM, RN7 confirmed the above findings. During an interview on 08/14/25 at 11:15 AM, the Clinic Manager 2 confirmed that the staff should use the hand sanitizer mounted on the machine of the patient they are providing care to. Review of the facility's policy titled "Hand Hygiene" dated 11/06/23 indicated, "Clean the dialysis machine-mounted dispenser and bracket between patients with a 1:100 bleach ... Decontaminated using alcohol-based hand rub or by washing hands with antimicrobial soap and water ..."