| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852541 | (X3) Date Survey Completed 02/06/2020 |
| Name of Provider or Supplier Cairo Dialysis | Street Address, City, State 1182 5th St., S.E., Cairo, 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) |
| V0516 | PA-FREQUENCY-INITIAL-30 DAYS/13 TX CFR(s): 494.80(b)(1) An initial comprehensive assessment must be conducted on all new patients (that is, all admissions to a dialysis facility), within the latter of 30 calendar days or 13 hemodialysis sessions beginning with the first dialysis session. This STANDARD is not met as evidenced by: Based on a review of medical records and staff interviews, it was determined that the facility failed to complete a comprehensive interdisciplinary assessment that was conducted by the entire interdisciplinary team (IDT) within 30 calendar days of admission or after 13 dialysis treatments for two of three sampled patients (P) (#2 and #3), who were admitted in 2019. Findings were: A review of patients' medical records revealed the following: - P#2 was admitted on 12/12/19. The initial comprehensive assessment was completed on 1/21/20. - P#3 was admitted on 2/19/19. The initial comprehensive assessment was completed on 3/27/19. - The assessments were completed more than 30 calendar days of admission or after 13 dialysis treatments. During and interview with the Facility Administrator (FA) and Clinical Services Specialist on 2/6/20 at 2:35 p.m, the FA stated that the initial comprehensive assessments should have been completed earlier. |