Failure to Obtain Post-Dialysis Communication from Provider
Penalty
Summary
The facility failed to obtain communication from the dialysis provider after each dialysis treatment for a resident who required such services. The resident was admitted with multiple diagnoses, including end stage renal disease dependent on dialysis, and had physician's orders to attend dialysis three times a week with a fluid restriction. While the facility completed pre and post dialysis assessments on the days the resident attended dialysis, there was no evidence that the facility received or documented communication from the dialysis center after each treatment. Interviews with facility staff confirmed that communication from the dialysis center was not consistently received after each visit, and the resident reported never being given paperwork to provide to the facility following dialysis sessions. When requested, the facility was only able to provide a monthly summary of lab work and weights, with no documentation of updates from the dialysis center after each treatment. Additionally, the facility's dialysis policy was requested but not provided during the survey.