Failure to Conduct Post-Dialysis Monitoring
Penalty
Summary
The facility failed to ensure that post-dialysis monitoring was conducted for a resident who required hemodialysis. The resident, who had end stage renal disease and was dependent on hemodialysis, was admitted and later readmitted to the facility. Documentation reviews for two separate dates showed that post-dialysis monitoring was not performed after the resident returned from hemodialysis treatments. This was confirmed during an interview with an LVN, who acknowledged that the records did not indicate any post-dialysis monitoring on those dates and emphasized the importance of such monitoring for resident safety. The resident's assessment indicated some cognitive impairment and a need for staff assistance with mobility. The facility's policy required ongoing assessment and oversight before, during, and after dialysis treatments, including monitoring for complications. However, the lack of post-dialysis monitoring and documentation on the specified dates demonstrated noncompliance with this policy.