Complaint Summary for Public Viewing Reports for:
RELIANT RENAL CARE RRC TRINIDAD
Sunday, January 02, 2011 9:01 PM
Intake ID:   CO00010669
Facility:   RELIANT RENAL CARE RRC TRINIDAD
Date of Complaint:   2/17/2009
Date of Investigation:   2/18/2009
Total Number of Allegations for Complaint: 3

Allegation: 1

Type: Resident/Patient/Client Abuse

Findings: Unsubstantiated

Allegation Detail: The Health Facilities Division received a complaint on 2/5/09.

The complainant alleged the facility failed to protect the patient from abuse. The complainant stated that in --- ---- s/he was abused by a staff member. After the patient's treatment, s/he went into the kitchen to get a pastry. A staff member then came in and grabbed the patient's arm so hard that s/he dropped the pastry.

Findings Detail: An unannounced onsite complaint investigation was conducted on 2/18/09 by one state surveyor. Interviews were conducted, observations were made, policies, procedures, staffing schedules, personnel records and the medical record of the patient of the complaint, --- ----, were reviewed.

This --- ----

An interview was conducted with --- ----

The allegation that the facility failed to protect the patient from abuse was not substantiated. No deficient practice was cited.

Allegation: 2

Type: Nursing Services

Findings: Unsubstantiated

Allegation Detail: The complainant alleged the clinic failed to inform the patient the dose of his/her medication. The complainant stated s/he was receiving Epogen and was vomiting, having diarrhea, and nausea as a result. The complainant stated the clinic failed to inform the patient the dose of the Epogen.

Findings Detail: An interview was conducted with --- ----

According to the 2007 Mosby's Nursing Drug Reference, page 417, --- ----

In summary, the allegation that the clinic failed to inform the patient the dose of Epogen was not substantiated. No deficient practice was cited.

Allegation: 3

Type: Resident/Patient/Client Rights

Findings: Unsubstantiated

Allegation Detail: The complainant alleged the facility failed to respect patient rights. The complainant stated s/he refused to get his/her lab work done and the administrator threatened to withhold treatment if the patient did not get his/her labwork done.

Findings Detail: An interview was conducted with --- ----

In summary, the allegation that the facility failed to respect patients' rights was not substantiated. No deficient practice was cited.

(click link for the rest of the report)

http://www.hfemsd1.dphe.state.co.us/hfd2003/compreport.aspx?id=12I150&ft=esrd&comp=CO00010669&bk=

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12/5/2007 Survey Tag 0150 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Sunday, January 02, 2011 9:12 PM
Survey Date: 12/5/2007

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 personnel records, employee health file review and staff interview, it was determined that the governing body, through the chief executive officer of the ESRD facility failed to ensure that:
1. Complete employee health files were maintained for five (#1, #2, #3, #4 and #5) of 5 employee files reviewed and;
2. Complete personnel records were maintained for two (#4 and #5) of 5 personnel records reviewed.

(click link for the rest of the report)

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0150&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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12/5/2007 Survey Tag 0152 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Monday, January 03, 2011 12:43 PM
Survey Date: 12/5/2007

Regulation Number:0152

Regulation Title: PERSONNEL RECORDS: JOB DESCRIPTIONS

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 current job descriptions that reflect the employees' responsibilities and work assignments.

Surveyor Findings:


Based on employee personnel file review, it was determined that the governing body, through the chief executive officer of the ESRD facility failed to ensure that current job descriptions were maintained in 5 (#1, #2, #3, #4 and #5) of five employee files reviewed. This failure created the potential for employees to be unaware of their functions and responsibilities.

(click link for the rest of the report)

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0152&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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12/5/2007 Survey Tag 0188 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Monday, January 03, 2011 12:48 PM
Survey Date: 12/5/2007

Regulation Number:0188

Regulation Title: LONG-TERM PLAN TEAM MEMBERS

Regulation Description: There is a written long-term program representing the selection of a suitable treatment modality (i.e., dialysis or transplantation) and dialysis setting (i.e., home, self-care) for each patient that is developed by a professional team which includes but is not limited to the physician director of the dialysis facility or center where the patient is currently being treated, a physician director of a center or facility which offers self-care dialysis training (if not available at the location where the patient is being treated), a transplant surgeon, a qualified nurse responsible for nursing services, a qualified dietitian and a qualified social worker.

Surveyor Findings:


Based on patient medical record review and staff interview, the facility failed to assure that written long-term programs in five (#1, #2, #3, #4 and #5) of 5 medical records reviewed were developed by a complete professional team.

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0188&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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12/5/2007 Survey Tag 0238 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Monday, January 03, 2011 12:54 PM
Survey Date: 12/5/2007

Regulation Number:0238

Regulation Title: MEDICAL RECORD: MEDICAL & NURSING HISTORY

Regulation Description: All medical records contain medical and nursing history of patient.

Surveyor Findings:


Based on medical record review and staff interview, the facility failed to ensure patients received an initial nursing assessment upon admission for three (#2, #3 and #4) of 5 medical records reviewed. The failure to ensure pertinent medical history was obtained and a physical assessment performed by the registered nurse prior to initiation of dialysis treatment has the potential to result in inadequate clinical information in which to develop an adequate plan of care.

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0238&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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12/5/2007 Survey Tag 0440 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Monday, January 03, 2011 12:57 PM
Survey Date: 12/5/2007

Regulation Number:0440

Regulation Title: MINIMAL SERVICE REQUIREMENTS

Regulation Description: The facility must provide dialysis services as well as adequate laboratory, social, and dietetic services to meet the needs of the ESRD patient.

Surveyor Findings:


Based on the number and nature of standard level deficiencies referenced to the condition, the facility failed to provide adequate social and dietetic services. This failure had the potential to impact all patients served by the facility.

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0440&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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12/5/2007 Survey Tag 0447 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Monday, January 03, 2011 1:01 PM
Survey Date: 12/5/2007

Regulation Number:0447

Regulation Title: SOCIAL WORKER RESPONSIBILITIES

Regulation Description: The qualified social worker is responsible for conducting psychosocial evaluations, participating in team review of patient progress and recommending changes in treatment based on the patient's current psychosocial needs, providing casework and groupwork services to patients and their families in dealing with the special problems associated with ESRD, and identifying community social agencies and other resources and assisting patients and families to utilize them.

Surveyor Findings:


Based on medical record review and staff interview, the facility failed to provide adequate social services in 5 (#1, #2, #3, #4 and #5) of five medical records reviewed. This failure created the potential for the psychosocial needs of patients to go unmet.

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0447&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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12/5/2007 Survey Tag 0449 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Monday, January 03, 2011 1:05 PM
Survey Date: 12/5/2007

Regulation Number:0449

Regulation Title: DIETITIAN RESPONSIBILITIES

Regulation Description: The dietitian, in consultation with the attending physician, is responsible for assessing the nutritional and dietetic needs for each patient, recommending therapeutic diets, counseling patients and their families on prescribed diets, and monitoring adherence and response to diets.

Surveyor Findings:


Based on medical record review and staff interview, the facility failed to provide adequate dietetic services in 5 (#1, #2, #3, #4 and #5) of five medical records reviewed. This failure created the potential for nutritional and dietetic needs of the patients to go unmet.

http://www.hfemsd1.dphe.state.co.us/hfd2003/dtl3.aspx?tg=0449&eid=BL1M11&ft=esrd&id=12I150&bdg=00&reg=FV09

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