| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 04P001 | (X3) Date Survey Completed 05/06/2010 |
| Name of Provider or Supplier Arkansas Organ Recovery Agency | Street Address, City, State 1701 Aldersgate Road, Suite 4, Little Rock, AR | |
| 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) |
| Z0235 | ADMINISTRATION AND GOVERNING BODY CFR(s): 486.324(d) The OPO must have bylaws for each of its board(s) that address potential conflicts of interest, length of terms, and criteria for selecting and removing members. This STANDARD is not met as evidenced by: Based on record review, the Organ Procurement Organization (OPO) failed to ensure it followed the bylaws requirement for the Advisory Board to meet as a whole and establish a quorum for the transaction of business for the years 2007, 2008, and 2009, as evidenced by: Review revealed the Advisory Board had a membership of 12 members. A review of the bylaws revealed that a quorum was half of the membership. A review of the minutes for 2007 revealed the Advisory Board met 4 times: 1/29/07, 4/30/07, 7/30/07, and 10/29/07. The Advisory Board did not meet as one board and establish a quorum for business transactions in 2007. A review of the Advisory Board minutes for 2008 revealed that the Advisory Board met 2 times: 2/27/08 and 9/9/08. The Advisory Board did not meet as a whole board and establish a quorum for business transactions in 2008. A review of the minutes for the Advisory Board minutes for 2009 revealed the Advisory Board met 2 times: 4/14/09 and 10/6/09. The Advisory Board did not meet as a whole board and establish a quorum for business transacitions in 2009. |