OPO accountability dossier

Sierra Donor Services

CAGSCMS Tier 1

Sacramento-area Northern California (13 counties) and the Reno, Nevada area (OPTN Region 5)

CMS performance & status

CMS 2023 OPO Interim Annual Public Aggregated Performance Report, Table 5b (Donation and Transplant Rates, 2021): donation rate 15.80 and transplant rate both at/above top 25% cutoff; CY2021 tier column = 1.

This OPO is graded Tier 1 (2023 (CY2021 assessment)) under the CMS Conditions for Coverage outcome measures. Tier 1 is the top-performing band, automatically recertified.

CMS 2023 OPO Interim Annual Public Aggregated Performance Report (CY2021 assessment)

Findings naming this OPO (0)

No entity-level finding in OrganWatch names this OPO directly beyond its CMS performance status above. That is not a clearance — it reflects what the public record assembled here happens to name. See the full OrganWatch record for system-wide findings.


Every item is institution-level public record, source-linked; no patient, donor, or family is named. A Tier or finding here repeats the government's own assessment of an organization holding a public monopoly. Back to OrganWatch.