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 01P001 (X3) Date Survey Completed 04/18/2014
Name of Provider or Supplier Legacy Of Hope Street Address, City, State 516 20th Street South, Birmingham, AL
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)
Z0000 An unannounced Organ Procurement Organization (OPO) certification survey was conducted on-site at the Alabama Organ Center (AOC) on 4/14-18/2014. The OPO was found to be out of compliance at the following Condition levels at 486.324 (Z084): Administration and Governing Body and 486.326 (Z117): Human Resources.