| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852575 | (X3) Date Survey Completed 07/12/2022 |
| Name of Provider or Supplier Cc&D Services | Street Address, City, State 5040 Snapfinger Woods Dr, Ste 108, Decatur, 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) |
| V0117 | IC-CLEAN/DIRTY;MED PREP AREA;NO COMMON CARTS CFR(s): 494.30(a)(1)(i) Clean areas should be clearly designated for the preparation, handling and storage of medications and unused supplies and equipment. Clean areas should be clearly separated from contaminated areas where used supplies and equipment are handled. Do not handle and store medications or clean supplies in the same or an adjacent area to that where used equipment or blood samples are handled. When multiple dose medication vials are used (including vials containing diluents), prepare individual patient doses in a clean (centralized) area away from dialysis stations and deliver separately to each patient. Do not carry multiple dose medication vials from station to station. Do not use common medication carts to deliver medications to patients. If trays are used to deliver medications to individual patients, they must be cleaned between patients. This STANDARD is not met as evidenced by: Based on observation and patient and staff interviews, it was determined that the facility failed to ensure that clean items/areas were kept clean and dirty supplies were promptly discarded in the appropriate bins or receptacles. This breach in infection control techniques had the potential for cross contamination and spread of infection to six of six patients (P#1, P#2, P#5, P#6, P#9, P#10), who were undergoing hemodialysis treatment at the time of this observation and four of four patients (P#8, P#11, P#12, and P#13) who were waiting for their hemodialysis treatment to be initiated. The facility census was 32. - During observation in the patients' treatment room on 7/6/22 between 11:40 a.m. and 1:30 p.m., the following was revealed: - There was a blood-stained gauze pad and a blood-stained Band-Aid on the floor between two empty dialysis chairs in Pod #4, and scattered, torn gauze and Band-Aid wrappers strewn on the floor next to these two chairs also. - The medication preparation area/counter had numerous and scattered used/empty vials of Epogen injection (for anemia), Heparin injection vials (anticoagulant), syringes and a Ziploc bag of lab tubes (no blood inside the tubes). - The clean supply cabinet doors were left wide open, which had the potential for clean supplies to drop out or spill out onto the dirty floor. - Registered Nurse (RN AA) was observed performing pre-assessment on P#10 at Station (S18) and assessing his arterio-venous fistula (AVF) access with a stethoscope. RN AA placed the used, contaminated stethoscope around her neck without first disinfecting it. - RN AA stated that the staff had been really busy trying to get the patients started on hemodialysis today. She further stated that there were only two Licensed Practical Nurses (LPN AA and LPN BB) working with her today. She also acknowledged that the stethoscope should be disinfected after use and the used supplies discarded in their respective receptacles (trash can or biohazard box) promptly. - P#5 stated on 7/6/22 at approximately 12:00 p.m., that the treatment floor especially around her area has always been wet during her treatment time, but it was dry today. |