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 03/17/2022
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)
Z0000 An unannounced Medicare Organ Procurement Organization (OPO) Re-approval survey was conducted on site from 03/14/22 through 03/17/22. The entrance conference convened on 03/14/22 at 9:00 AM with the Interim Executive Director (IED), two Organ Clinical Supervisors, (OCS) a Quality Analyst (QA), and the Organ Quality Supervisor (OQS). An exit conference was conducted on 03/17/22 at 3:00 PM and included the IED, an OCS, the Director of Donation Development (DDD), the Financial and Operational Supervisor (FOS), the Lead Surgical Coordinator (LSC), and the OQS. This facility was found to be in substantial compliance with the Federal Conditions for Coverage (CfC) set forth in 42 CFR Part 486, Subpart G. The following standard deficiencies were cited. Z182 §486.344(d)(2)(ii) and Z120 §486.326(a)(3).