Failure to Complete Required Pre- and Post-Dialysis Monitoring Documentation
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that residents receiving dialysis had proper pre- and post-dialysis monitoring as required by policy. Specifically, for one resident with a diagnosis of dependence on dialysis and a physician's order for dialysis three times per week, the medical record review over a nearly one-month period revealed only one pre-dialysis communication report. The facility's policy required completion of pre- and post-dialysis forms for each dialysis session, but this was not consistently done. The Director of Nursing confirmed that the required documentation should have been present for every dialysis day, indicating a lapse in following established procedures for monitoring residents before and after dialysis sessions.