| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852608 | (X3) Date Survey Completed 04/17/2024 |
| Name of Provider or Supplier Peachtree Dialysis Center, Llc | Street Address, City, State 3850 Holcomb Bridge Road Ste 435, Peachtree Corners, 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) |
| V0715 | MD RESP-ENSURE ALL ADHERE TO P&P CFR(s): 494.150(c)(2)(i) The medical director must- (2) Ensure that- (i) All policies and procedures relative to patient admissions, patient care, infection control, and safety are adhered to by all individuals who treat patients in the facility, including attending physicians and nonphysician providers; This STANDARD is not met as evidenced by: Based on observation, staff interview, and a review of the facility's Policies and Procedures (P & P), it was determined that the Medical Director failed to ensure that one of one Registered Nurse (RN AA) observed, adhered to the facility's P & P relative to Patient (P), (P#3's) post assessment (after her hemodialysis treatment). This failure had the potential to negatively affect the health and safety of P#3. The facility's current census was four. Findings include: - On 4/17/24 at 11:40 a.m., RN AA did not perform post assessment on P#3 before she, (P#3), left the facility, after her hemodialysis treatment. - RN AA acknowledged this observation on 4/17/24 at approximately 11:45 a.m. and stated that she forgot. - A review of the facility's Policy Number: 02.117, titled, "Clinical Policy and Procedures", Section: Post Dialysis Treatment Assessment Policy and Procedure with an effective date of 6/1/23, stated: D. Fluid Status: 1. Lung Sounds a. Listen to the posterior lung sounds bilaterally with special attention to posterior basal lung sounds... |