Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 852575 (X3) Date Survey Completed 07/12/2022
Name of Provider or Supplier Cc&D Services Street Address, City, State 5040 Snapfinger Woods Dr, Ste 108, Decatur, GA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
E0028 Dialysis Emergency Equipment

ยง494.62(b)(9) Condition for Coverage: [(b) Policies and procedures. The dialysis facility must develop and implement emergency preparedness policies and procedures, based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, and the communication plan at paragraph (c) of this section. The policies and procedures must be reviewed and updated at least every 2 years. At a minimum, the policies and procedures must address the following:] (9) A process by which the staff can confirm that emergency equipment, including, but not limited to, oxygen, airways, suction, defibrillator or automated external defibrillator, artificial resuscitator, and emergency drugs, are on the premises at all times and immediately available.


This STANDARD is not met as evidenced by:
Based on observation, staff interview, and a review of the Food and Drug Administration (FDA) recommendations, it was determined that the facility failed to ensure expired medications were removed and not available for use. This deficient practice was observed in one of one medication cabinet. Findings include: During an inspection of the Medication Refrigerator with the Charge Nurse (RN AA) on 7/8/22 at 10:40 a.m., the following medications were expired, thus these were not suitable for use. - Flu Blok (Influenza Vaccine) = 8 vials expired 6/30/22. In the Crash Cart: - 50% Dextrose injection vials (6 boxes) expired 5/2022. RN AA stated on 7/8/22 at 10:40 a.m., that she was unaware that these medications were expired. According to FDA recommendation dated 2/8/21, drug expiration dates reflect the time period during which the product is known to remain stable, which means it retains its strength, quality, and purity when it is stored according to its labeled storage conditions. Several potential harms may occur from taking an expired medicine... Once the expiration date has passed there is no guarantee that the medicine will be safe and effective.