| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852539 | (X3) Date Survey Completed 07/13/2022 |
| 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) |
| V0540 | CFC-PATIENT PLAN OF CARE CFR(s): 494.90 This CONDITION is not met as evidenced by: Based on a review of medical records, facility's anemia protocol, and staff interviews, it was determined that the interdisciplinary team failed to develop and implement a plan of care to meet the patients' anemia management needs in order to attain and maintain appropriate blood levels of Hemoglobin (Hgb - protein in red blood cells that carries oxygen) of three of four (P#2, P#3, P#4) sampled patients, whose Hgb levels were consistently below 10 g/dL (grams/deciliter). The accepted clinical practice standard for Hgb levels for dialysis patients is 10-12 g/dL. This deficient practice had the potential to negatively affect the health and safety of four patients with Hgb levels of less than 10.0 g/dL at this facility. The facility census was seven. Findings include: Cross Reference V 547 - Failure of the facility to effectively manage the patients' anemia outcomes. |