Failure to Maintain Dialysis Contract for Resident
Penalty
Summary
The facility failed to maintain a complete record of a dialysis contract for a resident, identified as Resident R22, who required dialysis services. Resident R22 was admitted to the facility with diagnoses including end-stage renal disease, chronic obstructive pulmonary disease, and vascular dementia. Her care plan indicated that she was to receive dialysis three times a week, and physician orders confirmed dialysis was scheduled for Monday, Wednesday, and Friday. Despite these arrangements, the facility's clinical records and documents did not include a contract with the dialysis provider. During an interview, the Nursing Home Administrator confirmed the absence of a complete dialysis contract for Resident R22. This deficiency was identified through a review of the resident's clinical records and staff interviews, highlighting the facility's failure to comply with the requirement to ensure that residents who require dialysis receive such services consistent with professional standards of practice and the comprehensive person-centered care plan.
Plan Of Correction
1. Resident R22 did not experience any adverse effects, and is the only resident who goes to dialysis. 2. The Administrator will work with the dialysis center to develop and execute a contract outlining responsibilities of this facility and dialysis center. 3. NHA/designee to audit new admissions 1x/week for 3 weeks to ensure dialysis contracts are up to date. 4. Results to be submitted to QAPI for review and approval.