Incomplete Dialysis Communication Records
Penalty
Summary
The facility failed to maintain complete and accurate records related to dialysis communication for one resident, identified as Resident R50. The Nursing Home Dialysis Transfer Agreement required the facility to ensure that all necessary information accompanies residents during transfers to the dialysis center and to maintain an interchange of information useful for the care of the residents. However, upon review, it was found that Resident R50's designated dialysis book was missing several Dialysis Communication Forms, and the existing forms were not current. This deficiency was confirmed during an interview with the Nursing Home Administrator. Resident R50, who was admitted to the facility with diagnoses including end-stage renal disease and dependence on dialysis, had a physician's order to attend dialysis sessions three times a week. Despite this, the facility did not ensure that the dialysis communication records were up-to-date and complete. During an interview, Resident R50 mentioned that the facility staff did not regularly check the dialysis book, and it depended on the staff at the dialysis center. This lack of proper documentation and communication could potentially impact the resident's care and treatment continuity.
Plan Of Correction
Resident #50 Dialysis Communication book will be sent with resident on dialysis days. All residents receiving dialysis will have a dialysis communication book go with them to dialysis. Licensed staff will be educated on dialysis communication book and review of documents in book by the Director of Nursing/Designee. Audit for all residents who are on dialysis will be conducted by the Director of Nursing/Designee weekly for 4 weeks to ensure that dialysis and the facility are communicating via communication book and the monthly ongoing findings will be reported to the Quality Assurance Performance Improvement committee for review and recommendations.