| 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) |
| V0712 | MD RESP-QAPI PROGRAM CFR(s): 494.150(a) Medical director responsibilities include, but are not limited to, the following: (a) Quality assessment and performance improvement program. This STANDARD is not met as evidenced by: Based on a review of the facility's Quality Assessment and Performance Improvement (QAPI) meeting minutes, and staff interviews, it was determined that the Medical Director failed to demonstrate operational responsibility for the facility's QAPI program for six of six months (January - June 2022) of QAPI meeting records reviewed. This deficient practice had the potential to negatively impact the health and safety of all 32 in-center hemodialysis patients who were under the care of this facility. Findings include: Cross Reference: V 638 - Failure of the QAPI Team to consistently monitor, track and trend facility's performances and develop action plans to improve and sustain patient outcomes. |