CMS Certification Number |
Facility Name |
Address |
City |
State |
CMS Region |
Date of CMS Survey |
Survey Event ID |
Survey Type |
Statement of Deficiencies Report |
▼
06P001
|
Donor Alliance |
200 Spruce St Suite 200 |
Denver |
CO |
8 (Denver) |
06/14/2018 |
LU2E11 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
Z0094 |
Administration And Governing Body |
Standard |
|
Z0120 |
Qualifications |
Standard |
|
|
▼
07P001
|
Life Choice Donor Services |
340 West Newberry Road, Suite A |
Bloomfield |
CT |
1 (Boston) |
02/25/2014 |
510Y11 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0058 |
Designated Requestor Training - Hosp Staff |
Standard |
|
|
▼
07P001
|
Life Choice Donor Services |
340 West Newberry Road, Suite A |
Bloomfield |
CT |
1 (Boston) |
06/14/2018 |
1BK711 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
E9999 |
Final Observations |
Memo |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0096 |
Administration And Governing Body |
Standard |
|
Z9999 |
Final Observations |
Memo |
|
|
▼
10P001
|
Lifelink Of Florida |
9661 Delaney Creek Blvd |
Tampa |
FL |
4 (Atlanta) |
05/02/2018 |
684211 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0090 |
Administration And Governing Body |
Standard |
|
|
▼
10P001
|
Lifelink Of Florida |
9661 Delaney Creek Blvd |
Tampa |
FL |
4 (Atlanta) |
03/17/2022 |
TIUP11 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0094 |
Administration And Governing Body |
Standard |
|
|
▼
10P002
|
Life Alliance Organ Recovery Agency |
1951 Nw 7th Avenue, Suite 220 |
Miami |
FL |
4 (Atlanta) |
03/21/2014 |
GEZ411 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0057 |
Hospital Agreements |
Standard |
|
Z0058 |
Designated Requestor Training - Hosp Staff |
Standard |
|
Z0084 |
Administration And Governing Body |
Condition |
|
Z0085 |
Administration And Governing Body |
Standard |
|
Z0087 |
Administration And Governing Body |
Standard |
|
Z0088 |
Administration And Governing Body |
Standard |
|
Z0090 |
Administration And Governing Body |
Standard |
|
Z0092 |
Administration And Governing Body |
Standard |
|
Z0095 |
Administration And Governing Body |
Standard |
|
Z0163 |
Format Of Records |
Standard |
|
Z0180 |
Collaboration With Transplant Programs |
Standard |
|
Z0201 |
Death Record Reviews |
Standard |
|
|
▼
10P002
|
Life Alliance Organ Recovery Agency |
1951 Nw 7th Avenue, Suite 220 |
Miami |
FL |
4 (Atlanta) |
02/08/2018 |
39NY11 |
Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
E0008 |
Opo Agreement, Service, Operation, Succession |
Standard |
|
E0023 |
Policies/Procedures For Medical Documentation |
Standard |
|
E0030 |
Names And Contact Information |
Standard |
|
E0044 |
Opo Continuity Of Operations |
Standard |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0124 |
Education, Training, & Performance Evaluation |
Standard |
|
Z0125 |
Medical Director |
Standard |
|
Z0168 |
Potential Donor Protocol Management |
Standard |
|
|
▼
10P002
|
Life Alliance Organ Recovery Agency |
1951 Nw 7th Avenue, Suite 220 |
Miami |
FL |
4 (Atlanta) |
12/04/2019 |
OEGB11 |
Complaint |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0165 |
Requesting Consent |
Standard |
|
|
▼
10P002
|
Life Alliance Organ Recovery Agency |
1951 Nw 7th Avenue, Suite 220 |
Miami |
FL |
4 (Atlanta) |
03/31/2022 |
PH6211 |
Complaint, Standard |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0061 |
Cooperation With Tissue Banks |
Standard |
|
Z0093 |
Administration And Governing Body |
Standard |
|
Z0095 |
Administration And Governing Body |
Standard |
|
Z0122 |
Staffing |
Standard |
|
Z0165 |
Requesting Consent |
Standard |
|
Z0201 |
Death Record Reviews |
Standard |
|
|
▼
10P002
|
Life Alliance Organ Recovery Agency |
1951 Nw 7th Avenue, Suite 220 |
Miami |
FL |
4 (Atlanta) |
12/19/2022 |
JDEV11 |
Complaint |
|
Deficiency Tag |
Deficiency Description |
Tag Type |
|
E0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0000 |
Initial Comments - Not a Deficiency Citation |
Memo |
|
Z0118 |
Qualifications |
Standard |
|
Z0121 |
Staffing |
Standard |
|
Z0122 |
Staffing |
Standard |
|
|