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 05P001 (X3) Date Survey Completed 05/14/2010
Name of Provider or Supplier Lifesharing Street Address, City, State 7436 Mission Valley Road, San Diego, CA
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)
Z0307 REQUESTING CONSENT
CFR(s): 486.342(b)

If an OPO does not request consent to donation because a potential donor consented to donation before his or her death in a manner that satisfied applicable State law requirements in the potential donor's State of residence, the OPO must provide information about the donation to the family of the potential donor, as requested.


This STANDARD is not met as evidenced by:
Based on record review and interview, the OPO did not ensure that if the potential donor consented to donation before his or her death, that information about donation was provided to the family member. Finding includes: During an interview on 5/13/10, an OPO staff member stated that the family of every potential donor is provided the same information on organ donation regardless of whether or not the potential donor had first-person consent. The staff added that the family is also given a packet to reinforce organ donation information which had been discussed with the family. In two of 3 cases however, where the potential donor had first-person consent, review of the donor record revealed the lack of documentation that the family member was given organ donation information.