| 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) |
| V0750 | CFC-GOVERNANCE CFR(s): 494.180 This CONDITION is not met as evidenced by: Based on patient and staff interviews and facility record review, it was determined that the Governing Body (GB) failed to demonstrate responsibility and accountability for the operations of the facility. This failure had the potential to negatively affect the health and safety of 32 in-center hemodialysis patients who were receiving dialysis treatment at this facility. Findings include: Cross references: V 681 - Failure of the facility to ensure that the Facility Administrator (FA), was duly licensed to perform skilled nursing care to hemodialysis patients and PCT AA was certified or had documentary evidence of PCT training and skills competencies to perform the duties and responsibilities of safe hemodialysis patient care. V 693 - Failure of the facility to ensure that all PCTs (AA, BB, CC, and DD) were competent to perform their assigned tasks. V 695 - Failure of the facility to ensure that all PCTs (AA, BB, CC, and DD) had a documentary evidence that they were certified under a State certification program or a national commercially available certification program. |