| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852569 | (X3) Date Survey Completed 07/23/2025 |
| Name of Provider or Supplier Dialysis Center Of Athens | Street Address, City, State 210 Hawthorne Park, Athens, 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) |
| V0750 | CFC-GOVERNANCE CFR(s): 494.180 This CONDITION is not met as evidenced by: Based on observations, staff interviews, a review of facility records, a review of the manufacturer's Directions for Use (DFU) and a review of facility Policies and Procedures (P & P), it was determined that the Governing Body failed to demonstrate responsibility and accountability for the operations of the facility. This failure had the potential to negatively affect the health and safety of 10 in-center hemodialysis patients who dialyzed at this facility. Findings include: Cross References: V 250 - Failure of the facility to ensure that two of two Patient Care Technicians (PCT AA and PCT BB) observed, correctly verified the machine's final dialysate conductivity (ability of the dialysate to conduct electricity) and pH (acidity), according to the manufacturer's DFU and facility P & P. V 715 - Failure of the Medical Director to ensure that one of one Registered Nurse (RN AA) adhered to facility P & P relative to pre-dialysis assessment; and failure of the Medical Director to ensure that five of five patients (P) (P#1, P#2, P#3, P#4, and P#5 sampled, had a prescription for dialysis composition of bicarbonate value, for the Direct Patient Care (DPC) Staff (nurses and patient care technicians) to follow during each patient's hemodialysis treatments. |