Incomplete Dialysis Communication for Resident
Penalty
Summary
The facility failed to provide consistent and complete communication with the dialysis center for a resident receiving hemodialysis. The resident, diagnosed with end-stage renal disease, diabetes mellitus, and hypertension, had physician orders for dialysis on Mondays, Wednesdays, and Fridays. However, a review of the resident's dialysis binder revealed incomplete dialysis communication forms for twelve out of eighteen days. This deficiency was confirmed during an interview with the Director of Nursing, who acknowledged the incomplete communication forms for the specified days.
Plan Of Correction
Facility cannot retroactively correct for Resident #66. Moving forward, the community will continue to provide consistent and complete communication with the dialysis center(s) for residents receiving hemodialysis. To identify other residents that have the potential to be affected, the Director of Nursing (DON)/designee completed an audit of current residents receiving hemodialysis to ensure communication forms were in place. To prevent this from recurring, the Regional Director of Clinical Services (RDCS)/designee educated staff on the regulatory requirements of F698 regarding consistent and complete communication with the dialysis center. To monitor and maintain ongoing compliance, the DON/designee will audit residents receiving hemodialysis for communication forms in place 2x a week for 4 weeks, then monthly for 2 months. Negative findings will be addressed. Ad Hoc education will be provided as needed. The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.