| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852539 | (X3) Date Survey Completed 08/02/2024 |
| 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) |
| 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 observation and staff interview, it was determined that the facility failed to ensure that one of one double doors at the back of the building, was maintained to prevent entry of insects and vermin; and to provide a safe environment for 10 patients who were dialyzing at this facility. Findings were: During a tour with the Facility Administrator (FA) on 7/31/24 between 11:58 a.m. and 1:15 p.m. the following was observed in the supply delivery area: - The front double doors leading to the outside had approximately 1/4 inch - 1/2 inch gap between the double doors and the floor (24 inches width across the left door, 1/2 inch in the middle, and 12 inches across the right door) that could allow insects and vermin to enter the building. The FA was present during the tour and confirmed the above findings on 7/31/24 at 12:15 p.m. and stated that they need to apply a weatherstrip to the door. |