| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852540 | (X3) Date Survey Completed 01/06/2023 |
| Name of Provider or Supplier Camilla Dialysis | Street Address, City, State 251 Us 19 N, Camilla, 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) |
| E0040 | ESRD Patient Orientation Training The dialysis facility must provide appropriate orientation and training to patients, including the areas specified in paragraph (d)(1) of this section. This STANDARD is not met as evidenced by: Based on a review of facility records, it was determined that the facility failed to ensure that two of seven Patients (P#4 and P#5) sampled, who were admitted on 9/3/22 and 10/21/21, respectively, received Emergency Preparedness orientation and training. This failure had the potential to negatively affect the health and safety of P#4 and P#5. The facility census was 74. Findings include: During a review of the facility's Emergency Preparedness Program Orientation and Training Manual for all seven patients sampled, it was revealed that there were no records of training and orientation of the facility's Emergency Preparedness Program for P#4 and P#5. There were no records of training these patients regarding communication protocols for contacting the ESRD ( End Stage Renal Disease) facility and no records of identifying an alternate location for their treatment in the event of a facility closure or actions that patients would be required to take in case of an emergency in the facility. There were no documented evidences that a training and audit was done regarding emergency take off. The Facility Administrator stated on 1/6/23 at approximately 4:00 p.m., that they could not find any documented evidences of patient emergency training and orientation for P#4 and P#5. |