Dialysis facility record · CCN 672745

College Park Dialysis

17191 St Luke'S Way, Suite 100, The Woodlands, TX, 77384

Total citations

across 4 survey dates

Condition-level

most-serious findings

Distinct V-tags

unique V-tags cited

Most recent survey

11/21/2024

history from 09/22/2023

Citation history

Newest survey first. Every dialysis deficiency on file with CMS.

Survey date	Type	Tag	Deficiency	Level
11/21/2024	Complaint	V0101	Compliance With Fed/State/Local Laws	Standard
02/12/2024	Complaint	V0126	Ic - Hbv - Vaccinate Patients & Staff	Standard
02/12/2024	Complaint	V0463	Receive Services Outlined In Poc	Standard
02/12/2024	Complaint	V0715	Md Resp - Ensure All Adhere To P&P	Standard
12/29/2023	Complaint	V0113	Ic - Wear Gloves/Hand Hygiene	Standard
12/29/2023	Complaint	V0122	Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols	Standard
12/29/2023	Complaint	V0403	Pe - Equipment Maintenance - Manufacturer'S Dfu	Standard
12/29/2023	Complaint	V0540	Cfc: Patient Plan Of Care	ConditionCondition-level
12/29/2023	Complaint	V0541	Patient Plan Of Care - Goals - Community-Based Standards	Standard
12/29/2023	Complaint	V0546	Manage Mineral Metabolism	Standard
12/29/2023	Complaint	V0560	Patients Seen By Med Staff Member Monthly	Standard
12/29/2023	Complaint	V0625	Cfc - Quality Assessment & Performance Improvement	ConditionCondition-level
12/29/2023	Complaint	V0628	Measure, Analyze And Track Quality Indicators	Standard
12/29/2023	Complaint	V0760	Gb - Responsible For Staff Oriented To Facility & Resp	Standard
09/22/2023	Standard	V0117	Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts	Standard
09/22/2023	Standard	V0540	Cfc: Patient Plan Of Care	ConditionCondition-level
09/22/2023	Standard	V0541	Patient Plan Of Care - Goals - Community-Based Standards	Standard
09/22/2023	Standard	V0556	Poc Completed/Signed By Idt & Patient	Standard
09/22/2023	Standard	V0557	Initial Poc Implemented - 30 Days/13 Tx	Standard
09/22/2023	Standard	V0558	Implement Updates Of Poc - 15 Days P Pt Assessment	Standard