| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852542 | (X3) Date Survey Completed 05/18/2021 |
| Name of Provider or Supplier Red Hills Dialysis | Street Address, City, State 201 Old Albany Road, Thomasville, 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) |
| V0113 | IC-WEAR GLOVES/HAND HYGIENE CFR(s): 494.30(a)(1) Wear disposable gloves when caring for the patient or touching the patient's equipment at the dialysis station. Staff must remove gloves and wash hands between each patient or station. This STANDARD is not met as evidenced by: Based on observation, interview, and record review, the facility failed to ensure hand hygiene was completed by patients after holding pressure on their access sites in one of two survey days. This failure could negatively impact all 85 patients receiving dialysis at the facility. Findings include: Observation on 05/17/21 at 9:45 AM revealed the unsampled patient at Station 37 applied pressure to left upper arm access sites. After bleeding had stopped the patient walked to the scale and retrieved weight. The patient left the facility without washing or sanitizing hands Observation on 05/17/21 at 11:19 AM, revealed Patient (P) 6 was wearing gloves while holding pressure on his/her access site after completion of dialysis. Once P6 was deemed medically stable by the staff, he/she got out of the recliner and ambulated over to the weight scale, weighed, gathered his/her items and proceeded to exit the treatment area through two sets of double doors. A review of an informational/educational document posted at the sink area (closest to weight scale) stated, "Do all patients have to wash their access? Yes After - The patient must wear a glove if they are holding their site. The patient must wash their hands after removing their gloves when finished holding their site. Teammates can assist the patient to use hand hygiene gel provided there is no visible blood on patient's gloves or hands." During an interview on 05/18/21 at 11:20 AM, with the Clinical Coordinator (CC), he/she stated patient handwashing after holding their access was important to keep transmission of blood pathogens down and prevent cross contamination. CC said some patients are good about handwashing after their dialysis treatment and other patients need to be encouraged by staff to wash their hands. A review of the facility's policy titled, "Infection Control for Dialysis Facilities," revised 10/2020 stated, "Purpose: To minimize the spread of infections or bloodborne pathogens in the dialysis facility environment. . .Teammate/Patient Safety. . .35. Patients are encouraged to wash their hands. . .after treatment before leaving the treatment area." 28297 |