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s i s + n u r s e + w a s + t a l k i n g + o n + a + c e l l + p h o n e + w h i l e + c a r i n g + f o r + a + p a t i e n t + d u r i n g + t h e + i n v e s t i g a t i o n % 2 c + c m s + o f f i c i a l s + f o u n d + t h e + h o s p i t a l + a t + 9 4 0 0 + n o + n a m e + u n o + t o + b e + % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 c o u t + o f + c o m p l i a n c e % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 d + w i t h + a + d o z e n + m e d i c a r e + r e g u l a t i o n s % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + b e c a u s e + o f + t h i s % 2 c + t h e + h o s p i t a l % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 9 s + s t a t u s + a s + a + % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 c p r o v i d e r + d e e m e d + t o + m e e t + m e d i c a r e + c o n d i t i o n s + o f + p a r t i c i p a t i o n % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 d + h a s + b e e n + r e m o v e d % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + w h i l e + s a i n t + l o u i s e + c a n + s t i l l + r e c e i v e + m e d i c a r e + p a t i e n t s + a n d + i s + c u r r e n t l y + n o t + a t + r i s k + o f + l o s i n g + i t s + m e d i c a r e + f u n d i n g % 2 c + t h e + h o s p i t a l + w o n % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 9 t + g e t + i t s + % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 c d e e m e d % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 d + s t a t u s + b a c k + u n t i l + % 2 8 1 % 2 9 + a l l e n % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 9 s + p l a n + o f + c o r r e c t i o n + i s + a c c e p t e d % 2 c + a n d + % 2 8 2 % 2 9 + a + f u l l + r e - s u r v e y + o f + t h e + h o s p i t a l + i s + c o n d u c t e d + b y + c m s + t o + e n s u r e + t h a t + a l l + m e d i c a r e + c o n d i t i o n s + o f + p a r t i c i p a t i o n + a r e + b e i n g + m e t % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 c w h e n e v e r + t h e r e % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 9 s + a + n o n - c o m p l i a n c e + t o + o u r + c o n d i t i o n s % 2 c + w e + t a k e + t h a t + v e r y + s e r i o u s l y + w e % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 9 r e + v e r y + i n t e r e s t e d + i n + t h i s + c a s e + a n d + t h e + f o l l o w - u p + w i l l + h o p e f u l l y + r e v e a l + t h a t + t h o s e + % 2 8 d e f i c i e n c i e s % 2 9 + i d e n t i f i e d + h a v e + b e e n + r e s o l v e d % 2 c % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 d + s a i d + a r t h e r % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + s o + f a r + t h i s + y e a r % 2 c + m e d i c a r e + p a t i e n t s + a c c o u n t + f o r + a p p r o x i m a t e l y + 3 5 + p e r c e n t + o f + t h e + p a t i e n t + p o p u l a t i o n + a t + s a i n t + l o u i s e % 2 c + w h i c h + h a s + 9 6 + l i c e n s e d + b e d s + a n d + s a w + 2 6 % 2 c 0 0 0 + p a t i e n t s + w a l k + t h r o u g h + i t s + e m e r g e n c y + r o o m + d o o r s + l a s t + y e a r % 2 c 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s + t e s t i n g + c o m p l i a n c e + f o r + a + h a n d f u l + o f + h o s p i t a l + n u r s e s + a n d + p r a c t i t i o n e r s % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + - + d e f i c i e n c i e s + i n + t h e + p r a c t i c e + f o r + a p p r a i s i n g + a n d + a s s e s s i n g + t h e + c o m p e t e n c y + o f + t h r e e + s t a f f + n e p h r o l o g i s t s + % 2 8 k i d n e y + s p e c i a l i s t s % 2 9 % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + - + f a i l i n g + t o + m a i n t a i n + u p d a t e s + t o + a + p a t i e n t % 2 7 s + m e d i c a l + h i s t o r y % 2 c + a l o n g + w i t h + a + p h y s i c a l + e x a m i n a t i o n % 2 c + p r i o r + t o + a + s u r g e r y % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + i f + a + p a t i e n t + i s + g o i n g + t o + r e c e i v e + a n e s t h e s i a % 2 c + c h i c k e r i n g + s a i d + t h e + a n e s t h e s i o l 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g + t h e + d o z e n + o r + s o + f i n d i n g s % 2 c + c h i c k e r i n g + u n d e r l i n e d + e a c h + i t e m + a s + u n i f o r m l y + c r u c i a l % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + s e v e r a l + o f + t h e + i s s u e s + s t e m + f r o m + t h e + h o s p i t a l % 2 7 s + f o r m e r + c o n t r a c t e d + d i a l y s i s + p r o v i d e r % 2 c + w h i c h + h a d + b e e n + w o r k i n g + w i t h + s a i n t + l o u i s e + s i n c e + 2 0 0 6 + s a i n t + l o u i s e + t e r m i n a t e d + t h e + p r o v i d e r % c 3 % a 2 % c 2 % 8 0 % c 2 % 9 9 s + c o n t r a c t + o n e + d a y + a f t e r + t h e + c e l l + p h o n e + i n c i d e n t % 0 a + + + + + + + + + + + + % 0 a + + + + + + + + + + + + + + + + t h e + h o s p i t a l % 2 c + w h i c h + r e g u l a r l y + a s s i s t s + a b o u t + 2 2 + d i a l y s i s + p a t i e n t s + p e r + m o n t h % 2 c + s h o u l d + h a v e + a + n e w + d i a l y s i s + p 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