Incomplete Communication with Dialysis Provider
Penalty
Summary
The facility failed to maintain effective communication with a dialysis provider for a resident diagnosed with End Stage Renal Disease. According to the facility's policy, agreements with the contracted ESRD facility should include procedures for developing and implementing care plans and exchanging information between the two facilities. Review of the resident's clinical record and the dialysis communication binder revealed that several communication sheets were not fully completed, specifically the section to be filled out by the facility upon the resident's return from dialysis. This incomplete documentation was noted on multiple dates, indicating a lapse in the required communication process between the facility and the dialysis provider. The deficiency was identified through clinical record review, facility policy review, and staff interviews, and was cited under 28 Pa. Code 211.(5)(f) Clinical records and 28 Pa. Code 211.12 (d)(1) Nursing services.