| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 05P004 | (X3) Date Survey Completed 02/16/2022 |
| Name of Provider or Supplier Sierra Donor Services | Street Address, City, State 1760 Creekside Oaks Drive, Suite 160, Sacramento, 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 02/14/22 through 02/16/22. The entrance conference convened on 02/14/22 at 9:00 AM with the Executive Director and the Manager of Quality and Compliance. An exit conference was conducted on 02/16/22 at 5:45 PM and included the Executive Director and the Manager of Quality and Compliance. This facility was found to be in substantial compliance with the Federal Conditions for Coverage (CfCs) set forth in 42 CFR Part 486, Subpart G. The following standard deficiency was cited. Z094 §486.324(d) |