QA Investigation Results

Pennsylvania Department of Health
DIALYZE DIRECT PA LLC
Health Inspection Results
DIALYZE DIRECT PA LLC
Health Inspection Results For:

This is the only survey for this facility

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.



Initial Comments:

Based on the findings of an unannounced onsite Medicare initial certification [CORE] survey conducted January 29, 2018, Dialyze Direct Pa. Llc, was found to be in compliance with the following requirement of 42 CFR, Part 494.62, Subpart B, Conditions for Coverage of suppliers of End-Stage Renal Disease (ESRD) Services-Emergency Preparedness.





Plan of Correction:




Initial Comments:

Based on the findings of an onsite unannounced Medicare initial certification survey completed January 29, 2018, Dialyze Direct Pa. Llc was found not to be in compliance with the following requirement(s) of 42 CFR, Part 494, Subparts A, B, C, and D, Conditions for Coverage of Suppliers of End-Stage Renal Disease (ESRD) Services.



Plan of Correction:




494.30(a)(1)(ii) STANDARD
IC-HBV-ISOLATION (NEW FACILITY)

Name - Component - 00
When dialysis isolation rooms as required by (a)(1)(i) are available locally that sufficiently serve the needs of patients in the geographic area, a new dialysis facility may request a waiver of such requirement. Isolation room waivers may be granted at the discretion of, and subject to, additional qualifications as may be deemed necessary by the Secretary.


Observations:

Based on reviews of policies/procedures, observation and an interview with the facility Administrator(EMP #1) the facility failed to ensure availability of an isolation room to sufficiently serve the needs of patients in the geographic area for the home training/support facility

Findings include:

Review of policies/procedures for Dialyze Direct Pa. LLC home training/support facility located at:495 Thomas Jones Way, Exton, Pa 19341 conducted on January 29, 2018 at approximately 1:00PM revealed the facility had applied for a waiver to utilize the isolation room at Coatesville Dialysis, 1129 W. Lincoln Highway, Coatesville, Pa 19320 to serve the patients located in the geographical region. No documentation of an approval was obtained.

Observation conducted at the home training/support facility on January 29, 2018 at approximately 2:00PM revealed:
A tour of the home training/support facility revealed no isolation room within the facility.

An interview conducted on January 29, 2018 at approximately 3:00PM with EMP #1 confirmed the above findings.






Plan of Correction:

V 1029

Dialyze direct PA, LLC has an executed Isolation Room Transfer Agreement with US Renal Care - Coatesville, a copy of which was provided to Surveyor during on site visit. Based on this completed Plan of Corrections, Dialyze Direct PA, LLC will resubmit their Isolation Room Waiver Request to CMS to satisfy this deficiency.