| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852539 | (X3) Date Survey Completed 07/26/2023 |
| 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) |
| V0403 | PE-EQUIPMENT MAINTENANCE-MANUFACTURER'S DFU CFR(s): 494.60(b) The dialysis facility must implement and maintain a program to ensure that all equipment (including emergency equipment, dialysis machines and equipment, and the water treatment system) are maintained and operated in accordance with the manufacturer's recommendations. This STANDARD is not met as evidenced by: Based on observation and staff interview, it was determined that the facility failed to have a system in place to ensure that 10 of 10 hemodialysis machines (#1, #2, #3, #4, #5, #6, #7, #8, #9, and #10) were maintained and free of unsanitary substances. Findings were: During a tour of the facility on July 24, 2023 between 11:00 a.m. - 12:00 p.m., the following was observed: - Machines #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 had peeling paint and rust colored stains covering the lower surfaces of the machines. During an interview with the Administrative Assistant on 7/24/23 at approximately 2:00 p.m., she stated that the machines needed to be painted. |