Dialysis facility record · CCN 672731
North Fort Worth Dialysis
3812 E Belknap Street, Fort Worth, TX, 76111
Total citations
14
across 1 survey dates
Condition-level
3
most-serious findings
Distinct V-tags
14
unique V-tags cited
Most recent survey
06/07/2021
history from 06/07/2021
Citation history
Newest survey first. Every dialysis deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level |
|---|---|---|---|---|
| 06/07/2021 | Standard | V0110 | Cfc - Infection Control | ConditionCondition-level |
| 06/07/2021 | Standard | V0111 | Ic - Sanitary Environment | Standard |
| 06/07/2021 | Standard | V0115 | Ic - Wear Gowns, Shields/Masks; Staff Not Eat/Drink In Tx Area | Standard |
| 06/07/2021 | Standard | V0120 | Ic - Transducer Protectors: Not Wetted/Changed | Standard |
| 06/07/2021 | Standard | V0121 | Ic - Handling Infectious Waste | Standard |
| 06/07/2021 | Standard | V0122 | Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols | Standard |
| 06/07/2021 | Standard | V0142 | Ic - Oversight: Monitor Activities & Implement Policies | Standard |
| 06/07/2021 | Standard | V0250 | Dialysate Proportioning - Monitor Ph/Conductivity | Standard |
| 06/07/2021 | Standard | V0400 | Cfc - Physical Environment | ConditionCondition-level |
| 06/07/2021 | Standard | V0407 | Pe - Hemodialysis Patients In View During Treatments | Standard |
| 06/07/2021 | Standard | V0628 | Measure, Analyze And Track Quality Indicators | Standard |
| 06/07/2021 | Standard | V0638 | Continuously Monitor/Take Action/Track/Sustain Improve | Standard |
| 06/07/2021 | Standard | V0710 | Cfc - Responsibilities Of The Medical Director | ConditionCondition-level |
| 06/07/2021 | Standard | V0715 | Md Resp - Ensure All Adhere To P&P | Standard |