Fmc - Dialysis of Paducah

“IC-CDC MMWR 2001 CFR(s): 494.30(a) The facility must demonstrate that it follows standard infection control precautions by implementing- (1)(i) The recommendations (with the exception of screening for hepatitis C), found in “Recommendations for Preventing Transmission of Infections Among Chronic Hemodialysis Patients,” developed by the Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, volume 50, number RR05, April 27, 2001, pages 18 to 28. The Director of the Federal Register approves this incorporation by reference in accordance with 5 U.S.C. 552(a) and 1 CFR Part 51. This publication is available for inspection at the CMS Information Resource Center, 7500 Security Boulevard, Central Building, Baltimore, MD or at the National Archives and Records Administration (NARA). Copies may be obtained at the CMS Information Resource Center. For information on the availability of this material at NARA, call 202-741-6030, or go to: http://www.archives.gov/federal_register/code_of_regulations/ibr_locations.html. The recommendation found under section header “HBV-Infected Patients”, found on pages 27 and 28 of RR05 (“Recommendations for Preventing Transmission of Infections Among Chronic Hemodialysis Patients”), concerning isolation rooms, must be complied with by February 9, 2009. This Standard is not met as evidenced by: 44370 Based on observation, interview, and review of the facility policy, it was determined the facility failed to demonstrate that it followed standard infection control precautions by not training outside visitors that remained with patients, on infection control standards. Observation on 02/25/2025 at 10:15 AM revealed a visitor sitting at a patient treatment station with her personal items (an iPad) on the table of the treatment chair. The findings include: Review of facility policy, “Visitor Policy”, dated 02/06/2023, revealed, “to provide for the safety and security of patients, visitors and staff, and to ensure confidentiality, access to patients in the treatment area was limited”. Continued review revealed the policy applied to patient family members, significant others, contracted care providers, and individuals identified in the plan of care. Additionally, “visitors would be given appropriate infection control training and orientation to the clinic, as well as a brief review of the dialysis procedure to assure that the visitor had at least a minimal understanding of what would be observed. This would include a review of the center’s policies for hand hygiene and personal protective equipment”. In an interview with the “visitor,” on 02/25/2025 at 10:15 AM, she stated she was a home health nurse and came to dialysis with her assigned patient. She stated she had received training on infection control standards at her agency, but had not received any training for the dialysis facility. She stated she was not aware that she could not have her personal items at the patient’s treatment station. In an interview with Registered Nurse (RN) 1 on 02/25/2025 at 12:55 PM, she stated that staff ensured visitors had Personal Protective Equipment (PPE) in place when sitting with a patient. She stated she was not aware that the personal sitter had an iPad on the chair side table in the treatment area. In an interview with the Director of Operations on 02/26/2025 at 11:14 AM, she stated the visitor was a nurse from home health agency. She stated the facility had a visitor policy as that was what the nurse would be considered. The Director of Operations stated there was no training required. She stated visitors were not allowed in the treatment area when patients were being put on and coming off treatment. She further stated the facility discouraged visitors from having personal items on the tables in the treatment area.”