| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852550 | (X3) Date Survey Completed 10/29/2019 |
| Name of Provider or Supplier Dublin Kidney Institute | Street Address, City, State 207 Industrial Blvd Ste 2, Dublin, 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) |
| V0713 | MD RESP-STAFF ED, TRAINING & PERFORM CFR(s): 494.150(b) Medical director responsibilities include, but are not limited to, the following: (b) Staff education, training, and performance. This STANDARD is not met as evidenced by: Based on a review of records and staff interviews, it was determined that the Medical Director (MD) failed to ensure that three of three Patient Care Staff (RN AA, RN BB, and LPN AA), who administered home hemodialysis treatments to patients (P#1, P#2, and P#3) in a Skilled Nursing Facility (SNF), were audited, observed, and evaluated for re-training as needed regarding their infection control techniques and skills competencies. This deficient practice could negatively affect the health and safety of two of two patients (P#2 and P#3) who dialyzed at the SNF and who were under the care of this facility. Findings include: Cross reference the following cited deficiencies: V 113 - Failure of the Medical Director to ensure that staff followed P & P regarding hand hygiene and glove changes. V 115 - Failure of the Medical Director to ensure staff wear appropriate personal protective equipment during potential exposure to blood and body fluids. V 117 - Failure of the Medical Director to ensure staff followed P & P regarding infection control techniques to avoid cross contamination. V 582 - Failure of the facility to oversee training, re-training, evaluation and performance of licensed caregivers of home hemodialysis patients who resided in the SNF. |