2/3/2010 Survey Tag 0729 Detail for:
LAKEWOOD DIALYSIS CENTER
Wednesday, December 29, 2010 8:43 AM
Survey Date: 2/3/2010

Regulation Number:0729

Regulation Title: MR-COMPLETE RECORDS PROMPTLY

Regulation Description: (1) Current medical records and those of discharged patients must be completed promptly.

Surveyor Findings:


Based on staff interviews, review of medical records and facility policies and procedures, the facility failed to appropriately document written/verbal/protocol orders in 10 of (#1 through #10) ten medical records reviewed. This failure created the potential for patient care to be compromised.

More info:
http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0729&eid=7REQ11&ft=esrd&id=120492&bdg=00&reg=FV10

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12/12/2007 Survey Tag 0150 Detail for:
MILE HIGH HOME DIALYSIS PD
Wednesday, December 29, 2010 9:02 AM
Survey Date: 12/12/2007

Regulation Number:0150

Regulation Title: PERSONNEL RECORDS: HEALTH

Regulation Description: The governing body, through the chief executive officer of the ESRD facility, is responsible for maintaining and implementing written personnel policies and procedures that ensure that complete personnel records are maintained on all personnel including health status reports.

Surveyor Findings:


Based on employee health file review, facility policy and procedure manual review and staff interview, it was determined that the governing body, through the chief executive officer of the ESRD facility, failed to ensure that employee health files were complete for three (#2, #3 and #5) of six employee health files reviewed, and that the employees were free from communicable disease, specifically tuberculosis.

More info:
http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0150&eid=3K0K11&ft=esrd&id=12R950&bdg=00&reg=FV09

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