Failure to Include Dialysis Care in Baseline Care Plans
Penalty
Summary
The facility failed to develop baseline care plans that addressed dialysis care and necessary interventions for three residents who required dialysis services. Clinical record reviews showed that each of these residents was admitted with diagnoses of chronic kidney disease or end stage renal disease, both requiring regular dialysis treatments as ordered by their physicians. Despite these documented needs and orders for dialysis three times a week, the baseline care plans completed within 48 hours of admission did not include dialysis care or related interventions for these residents. Facility policy requires that a baseline care plan be developed within 48 hours of admission to address the resident's immediate needs. However, the baseline care plans for the affected residents did not reflect their dialysis requirements, as confirmed by review of the care plans and by staff interviews, including with the Director of Nursing. This omission resulted in the residents' immediate care needs not being accurately addressed in their initial care planning.