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 012515 (X3) Date Survey Completed 04/20/2023
Name of Provider or Supplier Fresenius Medical Care Opelika Street Address, City, State 2609 Village Professional Drive, Suite 2, Opelika, 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)
V0401 PE-SAFE/FUNCTIONAL/COMFORTABLE ENVIRONMENT
CFR(s): 494.60

The dialysis facility must be designed, constructed, equipped, and maintained to provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment environment.


This STANDARD is not met as evidenced by:
Based on observations, and interview, it was determined the facility failed to maintain dialysis treatment chairs to ensure effective disinfection between patients, and treatment chair function and comfort. This affected six of thirty patient treatment chairs and had the potential to negatively affect all patients who dialyze at the facility. Findings include: 1. During observations of care on 4/18/23 at 3:50 PM, tears/holes in the vinyl and excessive wear on the patient treatment chairs were identified below: a. station 11 treatment chair had a two 2 inch (in) L (length) x (by) one and one half in W (wide) tear with a gaping hole in the vinyl of the middle cushion in the footrest. b. station 20 treatment chair right arm rest had a one in L x one quarter in W tear in the vinyl and indentations in the seat cushion. c. station 18 treatment chair seat cushion had a one and one half in L x one quarter in W tear in the vinyl. d. station 7 treatment chair right arm rest had a one half inch L x one quarter in W tear in the vinyl and the left arm rest had a one and a half in L by one and a half in W tear in the vinyl. e. station 3 treatment chair seat cushion had a two in L by one quarter in W tear in the vinyl. f. station 26 treatment chair seat cushion had two tears in the vinyl measuring two in L x one quarter in W and one in L x one eighth in W. The patient treatment chairs had excessive wear which affected the function and comfort of the patient and the ability to adequately disinfect the chairs. An interview conducted was conducted on 4/20/23 at 10:40 AM with Employee Identifier # 2, Director of Operations, who confirmed the facility failed to maintain the patient treatment chairs.