Dialysis facility record · CCN 672688
Aqua Dialysis Frank Avenue Llc
1520 W Frank Avenue, Lufkin, TX, 75904
Total citations
62
across 5 survey dates
Condition-level
8
most-serious findings
Distinct V-tags
48
unique V-tags cited
Most recent survey
07/22/2025
history from 01/30/2019
Citation history
Newest survey first. Every dialysis deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level |
|---|---|---|---|---|
| 07/22/2025 | Complaint | E0013 | Development Of Ep Policies And Procedures | Standard |
| 07/22/2025 | Complaint | V0110 | Cfc - Infection Control | ConditionCondition-level |
| 07/22/2025 | Complaint | V0111 | Ic - Sanitary Environment | Standard |
| 07/22/2025 | Complaint | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 07/22/2025 | Complaint | V0175 | Cfc - Water And Dialysate Quality | ConditionCondition-level |
| 07/22/2025 | Complaint | V0209 | Water Storage Tank - Shape/Vent/Disinfected/Filter Post | Standard |
| 07/22/2025 | Complaint | V0245 | Acid Conc Distribution - Conc Labeled & Color-Coded Red | Standard |
| 07/22/2025 | Complaint | V0246 | Bicarb Conc Distribution - Color Coded Blue & Sealed | Standard |
| 07/22/2025 | Complaint | V0323 | Inventory Control | Standard |
| 07/22/2025 | Complaint | V0402 | Pe - Building - Constructed/Maintained To Ensure Safety | Standard |
| 07/22/2025 | Complaint | V0403 | Pe - Equipment Maintenance - Manufacturer'S Dfu | Standard |
| 06/03/2021 | Complaint | E0028 | Dialysis Emergency Equipment | Standard |
| 06/03/2021 | Complaint | V0401 | Pe - Safe, Functional, Comfortable Environment | Standard |
| 06/03/2021 | Complaint | V0403 | Pe - Equipment Maintenance - Manufacturer'S Dfu | Standard |
| 06/03/2021 | Complaint | V0500 | Cfc - Patient Assessment | ConditionCondition-level |
| 06/03/2021 | Complaint | V0502 | Assess Current Health Status Inc Comorbids | Standard |
| 06/03/2021 | Complaint | V0503 | Appropriateness Of Dialysis Rx | Standard |
| 06/03/2021 | Complaint | V0504 | Assess B/P & Fluid Management Needs | Standard |
| 06/03/2021 | Complaint | V0543 | Manage Volume Status | Standard |
| 06/03/2021 | Complaint | V0547 | Manage Anemia/H/H Measured Monthly | Standard |
| 06/03/2021 | Complaint | V0681 | Staff Licensed As Req/Qualified/Demonstrate Competencies | Standard |
| 06/03/2021 | Complaint | V0684 | Nurse Manager - 12 Mo Rn + 6 Mo Dialysis | Standard |
| 06/03/2021 | Complaint | V0692 | Pct - State Requirements & Hs Diploma | Standard |
| 06/03/2021 | Complaint | V0760 | Gb - Responsible For Staff Oriented To Facility & Resp | Standard |
| 05/14/2019 | Standard | V0770 | Transfer Agreement With Hospital For Inpatient Care | Standard |
| 03/14/2019 | Complaint | V0547 | Manage Anemia/H/H Measured Monthly | Standard |
| 03/14/2019 | Complaint | V0632 | Qapi Indicator - Anemia Management | Standard |
| 03/14/2019 | Complaint | V0634 | Qapi Indicator - Medical Injuries/Errors | Standard |
| 01/30/2019 | Standard | E0028 | Dialysis Emergency Equipment | Standard |
| 01/30/2019 | Standard | V0100 | Cfc - Compliance With Fed/State/Local Laws | ConditionCondition-level |
| 01/30/2019 | Standard | V0101 | Compliance With Fed/State/Local Laws | Standard |
| 01/30/2019 | Standard | V0110 | Cfc - Infection Control | ConditionCondition-level |
| 01/30/2019 | Standard | V0111 | Ic - Sanitary Environment | Standard |
| 01/30/2019 | Standard | V0114 | Ic - Sinks Available | Standard |
| 01/30/2019 | Standard | V0115 | Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area | Standard |
| 01/30/2019 | Standard | V0117 | Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts | Standard |
| 01/30/2019 | Standard | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 01/30/2019 | Standard | V0143 | Ic - Aseptic Techniques For Iv Meds | Standard |
| 01/30/2019 | Standard | V0147 | Ic - Staff Education Re Catheters/Catheter Care | Standard |
| 01/30/2019 | Standard | V0184 | Environment: Secure And Restricted | Standard |
| 01/30/2019 | Standard | V0222 | Acid Bulk Storage Tanks - Safety Controls | Standard |
| 01/30/2019 | Standard | V0228 | Mixing Systems - Labeling | Standard |
| 01/30/2019 | Standard | V0243 | Bicarb Jugs Rinsed Daily/Stored Dry | Standard |
| 01/30/2019 | Standard | V0246 | Bicarb Conc Distribution - Color Coded Blue & Sealed | Standard |
| 01/30/2019 | Standard | V0401 | Pe - Safe, Functional, Comfortable Environment | Standard |
| 01/30/2019 | Standard | V0402 | Pe - Building - Constructed/Maintained To Ensure Safety | Standard |
| 01/30/2019 | Standard | V0403 | Pe - Equipment Maintenance - Manufacturer'S Dfu | Standard |
| 01/30/2019 | Standard | V0407 | Pe - Hemodialysis Patients In View During Treatments | Standard |
| 01/30/2019 | Standard | V0500 | Cfc - Patient Assessment | ConditionCondition-level |
| 01/30/2019 | Standard | V0502 | Assess Current Health Status Inc Comorbids | Standard |
| 01/30/2019 | Standard | V0504 | Assess B/P & Fluid Management Needs | Standard |
| 01/30/2019 | Standard | V0520 | Frequency Reassessment - Unstable - Monthly | Standard |
| 01/30/2019 | Standard | V0540 | Cfc: Patient Plan Of Care | ConditionCondition-level |
| 01/30/2019 | Standard | V0543 | Manage Volume Status | Standard |
| 01/30/2019 | Standard | V0544 | Achieve Adequate Clearance | Standard |
| 01/30/2019 | Standard | V0558 | Implement Updates Of Poc - 15 Days P Pt Assessment | Standard |
| 01/30/2019 | Standard | V0626 | Covers Scope Of Services/Effective/Idt Involved | Standard |
| 01/30/2019 | Standard | V0628 | Measure, Analyze And Track Quality Indicators | Standard |
| 01/30/2019 | Standard | V0715 | Md Resp - Ensure All Adhere To P&P | Standard |
| 01/30/2019 | Standard | V0750 | Cfc - Governance | ConditionCondition-level |
| 01/30/2019 | Standard | V0757 | Staff # & Ratio Meet Patient Needs | Standard |
| 01/30/2019 | Standard | V0761 | Staff Have Access To Continuing Education | Standard |