Fkc Parkview

“PE-SAFE/FUNCTIONAL/COMFORTABLE ENVIRONMENT CFR(s): 494.60 The dialysis facility must be designed, constructed, equipped, and maintained to provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment environment. This Standard is not met as evidenced by: 41684 Based on observation during a tour of the facility, review of policy and procedure, and interview with the Facility Administrator, it was determined, that the facility failed to maintain a functional treatment environment by storing expired medical supplies (OBS#1).The facility failed to provide a sanitary environment to minimize the transmission of infectious agents within the facility (OBS#2). Findings include: A review of facility policy titled, “Emergency Medications, Equipment and Supplies “ conducted on May 8, 2025, at approximately 9:50 AM states, “ Emergency cart: The emergency cart must be: checked monthly or after use for contents, expiration dates, cleanliness and proper functioning of all equipment ... “ A review of facility emergency cart monthly checklist conducted on May 6, 2025, at approximately 9:45 AM, and observations of dialysis treatment and care area completed on May 6, 2025 between approximately 10:15 AM and 11:30 AM revealed the following: Note: The last date the emergency cart was reviewed was on April 10, 2025. OBS#1. A tour of the dialysis unit treatment area on May 6, 2025, at approximately 11:00 AM revealed the emergency cart contained two (2) expired Yankhauer sets with tubing. One (1) had an expiration date of 11/20/2020 and the other had an expiration date of 11/31/2020. Review of facility Preferred Vendor Overview in lieu of a policy completed on 5/08/2025, at approximately 12:45 PM revealed: “Vendor Overview Pest Control: with last revision date of June 2019. TITLE: Pest Service Overview: Fresenius Medical Care North America has partnered with two national Pest Control companies to provide services to clinics...Covered Pest are pests that are covered for treatment, at no additional charge, during you recurring treatment...” OBS#2 on 5/6/2025 at approximately 11:20 AM, a live brown insect (approximately 1 inch long) crawling on the floor was observed in the lab area. An interview with the Charge Nurse conducted on May 6, 2025, at approximately 11:25 AM revealed last pest control treatment was a “few weeks ago”. An interview with the Facility Administrator conducted on May 8, 20205, at approximately 10:10 AM confirmed the above findings.”

“PA-ASSESS B/P, FLUID MANAGEMENT NEEDS CFR(s): 494.80(a)(2) The patient’s comprehensive assessment must include, but is not limited to, the following: Blood pressure, and fluid management needs. This Standard is not met as evidenced by: 49513 Based on a review of facility policy, medical records (MR), and an interview with the facility administrator, the facility did not follow its policy for patient assessment and monitoring for one (1) of ten (10) MRs reviewed, (MR # 9). Findings include: A review of facility policy titled “Patient Assessment and Monitoring” conducted on 05/08/2025 at approximately 1:30 PM AM states, “If the PCT/LPN (patient care technician/licensed practical nurse) note any changes or abnormal findings in the patient’s condition or vascular access are observed or reported by the patient, or the patient was hospitalized, the registered nurse must assess the patient. The nurse will notify the patient’s physician of any abnormal findings, if necessary, based on clinical judgment for additional instruction. The registered nurse ill assess/re-assess any findings addressed pre or during treatment as needed...Pre-Treatment: The direct patient care staff may obtain the following data...Blood Pressure: Record blood pressure. Verify: Systolic blood pressures greater than 180 mm/Hg and /or diastolic blood pressures greater than 100 mm/Hg. Systolic blood pressures less than or equal to 100 mm/hg systolic during treatment...Report to the nurse: Systolic blood pressures greater than 180 mm/Hg; Diastolic blood pressures greater than 100 mm/Hg; Blood Pressure less than or equal to 100 mm/Hg systolic...Reported by patient: Report to the nurse any complaints by the patient during treatment...Document any findings and interventions in the medical record...” A review of MRs was conducted on 05/07/2025 at approximately 9:00 AM. MR #9, Start of Care: 08/02/2023. Review of treatments sheets for 04/24/2025, 04/29/2025, 05/01/2025, 05/06/2025 revealed the following: 4/24/2024: Pre-treatment blood pressure: BPSIT179/108, BPSTAND 186/108 PCT documented at 5:46 AM 179/108, “Treatment intiated without problem, Access Visible, Green AMP light, Denies Complaints; Patient Alert” RN post assessment at 10:04 AM states, “tolerated tx well. VSS and AAOX3.completed treatment without any complaint, no sobx, cp, bleed or fall.UF removed 3.3kg ,pt left stable There is no documentation of a recheck of the blood pressure and no documentation of RN acknowledgement/patient assessment or if any interventions were performed at the time of occurrence. 04/29/2024 Pre-treatment blood pressure: BPSIT 189/98, BPSTAND 172/110 PCT documented at 5:56 AM, B/P 189/98 “”Treatment intiated without problem, Access Visible, Green AMP light, Denies Complaints; Patient Alert” PCT documented at 6:00 AM, BP 178/11 “Patient Alert; Access Visible” PCT documented at 6:29 AM, 181/ 106 PCT documented at 6:57 AM, 172/105 “Patient Alert; Access Visible” PCT documented at 8:22 AM, 164/102 PCT documented at 8:51 AM, 180/104 PCT documented at 9:20 AM, 152/100 “Patient Alert: Treatment discontinued without problems; Access Visible; come off early ama signed PCT documented at 9:34 AM “NEW COMPLAINT OR OBSERVATIONS WHICH DEVELOPED DURING DIALYSIS: No new findings” RN post assessment at 9:47 AM states, “pt. requested to come off early and signed off ama. pt educated and aware about the consequences of shortened tx. post vital signs stable. no complaints. left the unit stable/ambulatory. There is no documentation of a recheck of the blood pressure and no documentation of RN acknowledgement/patient assessment or if any interventions were performed at the time of occurrence. 05/01/2025 Pre-treatment blood pressure: BPSIT 204/105, BPSTAND 171/105 PCT documented at 5:46 AM, 195/115 “Treatment intiated without problems, access visible; Green AMP light; Denies complaints; Patient Alert” RN Evaluation at 6:08 AM, “No unusual findings noted” PCT documented at 6:25 AM, 189/112 PCT documented at 6:58 AM, 185/112 RN post assessment at 12:32 PM, “pt tolerated tx. well post vital signs stable.no complaints.left the unit stable/ambulatory There is no documentation RN acknowledgement/patient assessment or if any interventions were performed at the time of occurrence. 05/06/2025 Pre-treatment blood pressure: BPSIT 196/113, BP STAND 195/116 PCT documented at 5:50 AM, 163/100 “Lines Reversed; Patient Alert; Treatment Initiated without problem; Resting comfortably” PCT documented at 7:56 AM 184/100 RN evaluation at 7:15 AM states, “pt denies any sob, cp, nvd, bleed or fall, hrr, lungs clr, uf as tolerated, no edema, AA0x3 ,access visible, pt orders as prescribed, will monitor RN evaluation at 10:10 AM states “ tolerated tc well, post vss, left the unit stable and ambulatory” There is no documentation of a recheck of the blood pressure and no documentation of RN notification and therefore, no RN patient assessment or if any interventions were performed at the time of occurrence. An interview with the Facility Administrator conducted on May 8, 20205, at approximately 10:10 AM confirmed the above findings.”