The Hemodialysis Unit of the ISSSTE Hospital in Guanajuato capital continues to provide ordinary medical care to its beneficiaries despite having been administratively closed by the State Health Secretary due to the lack of a Sanitary License and a qualified Sanitary Manager. The inspection revealed that nursing staff lacks updated accreditations, the facilities show oxidation in biological handling areas, and the mandatory transfer of patients to alternate clinics in León, Celaya, or Irapuato was not complied with.