Failure to Coordinate and Document Dialysis Care and Assessments
Penalty
Summary
The deficiency involves the facility’s failure to provide safe, appropriate dialysis care and services for a resident who required dialysis. The facility had no policy in its policy book addressing dialysis services. Record review showed that the dialysis center faxed the resident’s medication list and nutrition and blood test results to the facility on 01/15/26, and the baseline care plan documented that the resident was admitted on that date and received dialysis on Tuesdays, Thursdays, and Saturdays. Nursing progress notes on 01/17/26, 01/20/26, and 01/22/26 documented that the resident was transported to and from dialysis via public transport, but there was no documentation in the clinical record of any communication between the facility and the dialysis center. The clinical record also lacked evidence that the facility completed dialysis pre-assessments and post-assessments for the resident. On 01/22/26 at 10:10 a.m., the DON confirmed there were no communication forms or documentation between the facility and the dialysis center and stated the facility was not completing pre and post dialysis assessments for this resident. The administrator identified that 20 residents resided in the facility and one resident received dialysis, and this resident was the one affected by the lack of documented communication and assessments related to dialysis services.
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