Failure to Maintain Ongoing Communication With Dialysis Provider
Penalty
Summary
Surveyors identified a deficiency in the facility’s provision of dialysis-related care and services for a resident who required routine dialysis. The resident had a physician’s order, dated 01/30/25, to be sent to a contracted dialysis provider every Monday, Wednesday, and Friday. On 12/17/25 at 10:08 a.m., an LPN was observed conducting a pre-dialysis assessment of this resident. Review of the facility’s policy titled “Dialysis-General Guidelines and Management,” dated 01/2008, showed the policy did not address ongoing or continued communication between the dialysis center and the facility. During interviews, the LPN stated they had never used the facility’s dialysis communication form to document pre- and post-dialysis assessments or to send pre-dialysis assessment information to the dialysis center, despite having worked at the facility for two years. The LPN reported they believed this was because the dialysis center would not complete their portion of the form or return it. The DON confirmed that the dialysis communication form existed but had not been completed or sent to the dialysis center in years. The DON further stated that the facility had not received routine communication back from the dialysis center regarding the resident’s dialysis sessions, with the only regular documentation coming from the dialysis center’s nutritionist about nutrition.
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