| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852578 | (X3) Date Survey Completed 04/12/2023 |
| Name of Provider or Supplier Dialysis Care Center Pleasant Hill, Llc | Street Address, City, State 1425 Georgia Ave, Suite 101, Macon, 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) |
| V0403 | PE-EQUIPMENT MAINTENANCE-MANUFACTURER'S DFU CFR(s): 494.60(b) The dialysis facility must implement and maintain a program to ensure that all equipment (including emergency equipment, dialysis machines and equipment, and the water treatment system) are maintained and operated in accordance with the manufacturer's recommendations. This STANDARD is not met as evidenced by: Based on observation and staff interview, it was determined that the facility failed to ensure that six of 16 dialysis machines were maintained in good condition. Findings were: During a tour of the facility on 4/10/2023 between 12:00 p.m. and 1:00 p.m., the following was observed: - The paint on the blood pump panels of the dialysis machines at Stations #2, #9, #10, #12, #14 and #16 were removed exposing the metal underneath. - During an interview with the Clinic Manager on 4/12/23 at approximately 11:30 a.m., she stated that the panels on the dialysis machines needed to be replaced. |