| 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) |
| V0557 | POC-INITIAL IMPLEMENTED-30 DAYS/13 TX CFR(s): 494.90(b)(2) Implementation of the initial plan of care must begin within the latter of 30 calendar days after admission to the dialysis facility or 13 outpatient hemodialysis sessions beginning with the first outpatient dialysis session. This STANDARD is not met as evidenced by: Based on a review of medical records and facility policy, and staff interview, it was determined that the facility failed to ensure that a plan of care (POC) was developed and implemented within 30 days of admission for one of one new patient sampled (P#6), who was admitted in 2022. This failure had the potential to negatively affect the health and safety of all newly admitted patients. The facility census was seven. Findings were: A review of medical records revealed the following: - P#7 was admitted on 5/16/22. There was no documented initial POC within 30 days of admission. During an interview with the Administrative Assistant on 7/13/22 at approximately 2:30 p.m., the stated that the initial plan of care should have been completed for P#7 within 30 days of admission, or after 13 dialysis treatments. |