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)
V0693 PQ-PCT-COMPLETE TRAINING PROGRAM
CFR(s): 494.140(e)(3)

Patient care dialysis technicians must- (3) Have completed a training program that is approved by the medical director and governing body, under the direction of a registered nurse, focused on the operation of kidney dialysis equipment and machines, providing direct patient care, and communication and interpersonal skills, including patient sensitivity training and care of difficult patients.


This STANDARD is not met as evidenced by:
Based on a review of personnel records and staff interview, it was determined that the facility failed to provide documentary evidences that four of four Patient Care Technicians (PCTs AA, BB, CC, and DD), completed an orientation and training program that was approved by the facility's Medical Director (MD) and Governing Body (GB). This deficient practice had the potential to negatively impact the health and safety of all 32 patients who were under the care of this facility. Findings include: A review of personnel records for PCTs AA, BB, CC, and DD revealed no documentary evidences that they completed an orientation and training program at the facility, nor a documentary evidence that they had training at other dialysis facilities. There were no skills competency check offs, no water and dialysate training and skills check records, no CPR, no Infection Control and Emergency Preparedness Plan Training and Testing. There were no orientation records of newly hired PCTs and no health records except for PCT BB. A review of the hire dates of the following PCTs revealed the following: - PCT AA was hired by this facility on 11/20/20. - PCT BB was hired on 3/15/21. - PCT CC was hired on 5/1/22. - PCT DD was hired on 6/4/22. A review of PCT AA's last work day at the facility revealed that she worked at this facility until 6/10/22. An interview with the Chief Executive Officer (CEO) on 7/6/22 at 3:45 p.m., revealed that there were no documentary evidences available to confirm that the staff completed the facility's orientation and training program. The CEO further stated that some of them had worked here before, but confirmed that there were no orientation and training records available, nor any competency skills checks initially and annually.