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)
V0544 POC-ACHIEVE ADEQUATE CLEARANCE
CFR(s): 494.90(a)(1)

Achieve and sustain the prescribed dose of dialysis to meet a hemodialysis Kt/V of at least 1.2 and a peritoneal dialysis weekly Kt/V of at least 1.7 or meet an alternative equivalent professionally-accepted clinical practice standard for adequacy of dialysis.


This STANDARD is not met as evidenced by:
Based on record review, interview, and policy review, the facility failed to follow the individualized dialysis plan (an artificial means of kidney function that removes the waste and excess fluid from the blood by passing through a filter) by following the physician prescription as determined by the medical provider for two of 10 sampled in-center dialysis patients (Patient (P)2 and P10). Failure to follow the medical providers' dialysis prescription had the potential to negatively impact on the effectiveness of the prescribed dialysis treatments for all 105 patients receiving in-center dialysis treatments at this facility. Findings include: Review of P2's electronic medical record (EMR) revealed a prescribed Blood Flow Rate (BFR) of 425 milliliters per minute (ml/min). Review of three of six "Post Treatment" flowsheets from 07/24/25 through 08/12/25 in the EMR indicated the following: a. On 07/26/25 from 8:08 AM until 12:08 PM, the BFR was documented at 400 ml/min. b. On 08/09/25 from 8:00 AM until 11:47 AM the BFR was documented at 400 ml/min. c. On 08/12/25 from 7:45 AM until 11:32 AM the BFR was documented at 400 ml/min. There was no documentation for the change to the prescribed BFR in the EMR. Review of P10's EMR revealed a prescribed Dialysis Flow Rate (DFR) of 800 ml/min. Review of one of six "Post Treatment" flow sheets from 07/31/25 through 08/12/25 in the EMR indicated the following. a. On 08/09/25 from 12:45 PM until 3:37 PM the DFR was documented at 500 ml/min. There was no documentation for the change to the prescribed BFR in the EMR. During an interview on 08/13/25 at 1:15 AM, Clinic Manager 2 confirmed the above findings and that staff did not follow the physician's order for dialysis treatment. Review of the facility's policy titled, "Patient Assessment and Monitoring" dated 05/01/23 revealed, "Check dialysate flow rate setting is correct, and the correct prescribed flow is being delivered ..."