| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852539 | (X3) Date Survey Completed 06/10/2021 |
| Name of Provider or Supplier Eatonton Kidney Center | Street Address, City, State 103 N Washington Avenue, Eatonton, GA | |
| 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) |
| V0625 | CFC-QAPI CFR(s): 494.110 This CONDITION is not met as evidenced by: Based on a review of quality assessment and performance improvement (QAPI) meeting minutes, and staff interviews, it was determined that the interdisciplinary team (IDT) failed to develop an effective QAPI program that monitored indicators related to the patient outcomes and safety. This failure had the potential to negatively impact the health and safety of all 10 patients who were under the care of this facility. Findings include: Cross Reference V 632 - Failure of the facility to effectively manage anemia (low red blood cell counts) outcomes; and to evaluate the effectiveness of the facility's anemia protocol during QAPI meetings. |