Davita Plano Dialysis Center

“IC-SANITARY ENVIRONMENT CFR(s): 494.30 The dialysis facility must provide and monitor a sanitary environment to minimize the transmission of infectious agents within and between the unit and any adjacent hospital or other public areas. This Standard is not met as evidenced by: 50181 Based on observation and staff interview the facility failed to provide and monitor a sanitary environment to minimize the transmission of infectious agents within the dialysis unit. During a tour of the facility treatment floor on the morning of 09/16/2025, the following was noted: dead bugs noted in 4 of 4 light panels covering the light fixtures on the treatment floor 6 of 6 computer carts with noted tape residue 3 of 3 bio-hazard bin carts with residue and dirt build-up3 stained ceiling tiles on the treatment floorchipped and broken countertop in multiple areas behind patient stations and supply storage areas on the treatment floorchipped and broken areas of cabinet doors used for clean supply storage on the treatment floor The above findings were confirmed by staff #11 during the tour of the facility treatment floor.”

“IC-O-SIGHT-MONITOR ACTIVITY/IMPLEMENT P&P CFR(s): 494.30(b)(1) The facility must- (1) Monitor and implement biohazard and infection control policies and activities within the dialysis unit; This Standard is not met as evidenced by: 50181 Based on observation and staff interview the facility failed to implement infection control policies and activities within the dialysis unit to ensure expired supplies were discarded on or before the expiration date and not available for patient use in the facility. During a tour of the facility treatment floor on the morning of 09/16/2025, the following expired supplies were found and available for patient use: unopened recirculation connectors with an expiration date of 2025-7-27 printed by the manufacturerunopened vacutainers with an expiration date of 2025-01-31 printed by the manufacturer In an interview with the Facility Administrator (Staff #1) on 09/16/2025 she confirmed the supplies were expired and still available for patient use in the dialysis unit.”

“IC-STAFF EDUCATION-CATHETERS/CATHETER CARE CFR(s): 494.30(a)(2) Recommendations for Placement of Intravascular Catheters in Adults and Children I. Health care worker education and training A. Educate health-care workers regarding the ... appropriate infection control measures to prevent intravascular catheter-related infections. B. Assess knowledge of and adherence to guidelines periodically for all persons who manage intravascular catheters. II. Surveillance A. Monitor the catheter sites visually of individual patients. If patients have tenderness at the insertion site, fever without obvious source, or other manifestations suggesting local or BSI [blood stream infection], the dressing should be removed to allow thorough examination of the site. Central Venous Catheters, Including PICCs, Hemodialysis, and Pulmonary Artery Catheters in Adult and Pediatric Patients. VI. Catheter and catheter-site care B. Antibiotic lock solutions: Do not routinely use antibiotic lock solutions to prevent CRBSI [catheter related blood stream infections]. This Standard is not met as evidenced by: 50181 Based on observation and interview, the facility failed to ensure direct patient care staff provided appropriate central venous catheter (CVC) care during treatment initiation by ensuring appropriate use of a surgical mask by the patient when the catheter lumens or exit site was exposed. Findings: On 09/16/2025, at approximately 10:00 AM, staff #8 did not ensure the patient’s nose and mouth was fully covered by the surgical mask during exposure of the catheter lumens and exit site prior to treatment initiation. The observations were confirmed by staff #11 during the observations on the treatment floor.”