| 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) |
| 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 maintain equipment in safe and functional working condition as evidenced by broken mechanisms on two of nine adjustable television (TV) arms and torn leather upholstery on five of nine patient treatment chairs in the patient treatment area. This failure could hinder effective cleaning and disinfection of the surfaces, thus had the potential for microbial growth. Findings were: During a tour with the Facility Administrator (FA) on 7/31/24 between 11:58 a.m. and 12:57 p.m., the following was observed in the patient treatment area: - The adjustable TV arms were broken at S3 and S9. The TV were propped up and could not be straightened for patient viewing. - The hemodialysis chairs at Station (S) 2, S4, S5, S8, and S9 had torn upholstery ranging from approximately 2 inches to 8 inches in length and diameter, along the sides and top of the armrests, and/or on the seats and backrests. The FA was present during the tour and confirmed the above findings on 7/31/24 at 12:57 p.m. |