Inconsistent Dialysis Communication and Monitoring for Hemodialysis Resident
Penalty
Summary
The deficiency involves the facility’s failure to ensure ongoing communication and coordination with a dialysis provider for a resident receiving hemodialysis. The facility’s Dialysis Policy dated 08/07/23 required nursing staff to complete ongoing assessments and monitoring before and after dialysis treatments. The resident’s face sheet documented end stage renal disease and dependence on renal dialysis, and the care plan dated 04/22/23 included monitoring dialysis labs and the external hemodialysis catheter. The resident’s orders dated 12/05/25 specified dialysis on Monday, Wednesday, and Friday. Record review of the resident’s EHR Hemodialysis Communication forms from 06/01/25 through 12/06/25 showed only three dialysis communication forms for that entire period (08/20/25, 08/25/25, and 09/15/25), with no additional forms present. Medical Records staff stated that all dialysis communication notes had been uploaded and there was no outstanding documentation not scanned into the record. The DON reported that the facility uses a dialysis communication sheet that must accompany each resident to and from every dialysis appointment to provide current clinical information and updates on any changes, and acknowledged that dialysis communication for this resident was not consistent. The DON stated her expectation is that there is communication between the facility and the dialysis provider for every appointment.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.