| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852552 | (X3) Date Survey Completed 09/14/2023 |
| Name of Provider or Supplier Fresenius Kidney Care Mcdonough | Street Address, City, State 50 Kelly Road, Ste 100, Mcdonough, 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) |
| V0175 | CFC-WATER & DIALYSATE QUALITY CFR(s): 494.40 This CONDITION is not met as evidenced by: Based on a review of records and facility's Policy and Procedures (P&P) and staff interviews, it was determined that the facility failed to ensure that the water used for dialysis was monitored for total chlorine in a timely manner, to provide safe treatments for all patients. Residual levels of total chlorine in the water used for dialysis may result in the destruction of patient's red blood cells (hemolysis) and had the potential to cause harm to 48 in-center hemodialysis patients who were dialyzing at this facility. Findings were: Cross Reference: V196 - Failure of the facility to measure total chlorine in the water used for dialysis in a timely manner. |