A2cl Aurora Health Center - Edgerton

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 52D0665264
Address 6901 W Edgerton Ave, Milwaukee, WI, 53220
City Milwaukee
State WI
Zip Code53220
Phone(414) 421-8400

Citation History (2 surveys)

Survey - November 4, 2025

Survey Type: Standard

Survey Event ID: M94E11

Deficiency Tags: D6005 D6010

Summary:

Summary Statement of Deficiencies D6005 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(c) (c) The laboratory director must: (c)(1) Be onsite at least once every 6 months, with at least 4 months between the minimum two on-site visits. Laboratory directors may elect to be on-site more frequently and must continue to be accessible to the laboratory to provide telephone or electronic consultation as needed; and (c)(2) Provide documentation of these visits, including evidence of performing activities that are part of the laboratory director responsibilities. This STANDARD is not met as evidenced by: Based on surveyor review of laboratory records and interview with a technical consultant (Staff A), the laboratory director did not meet the requirement of conducting and documenting an onsite visit at least once every six months, with at least four months between onsite visits, for one of two required visits in 2025. Findings include: 1. Review of laboratory records revealed that the laboratory director conducted and documented an onsite visit using the "Medical Director Onsite Visit Documentation" form on December 11, 2024, and on October 16, 2025. 2. During an interview on November 4, 2025, at 2:35 PM, Staff A stated the laboratory director missed the scheduled visit in May 2025, and confirmed that the laboratory director did not meet the requirement of conducting and documenting an onsite visit in the first six months of 2025. D6010 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(2) (e)(2) Ensure that the physical plant and environmental conditions of the laboratory are appropriate for the testing performed and Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- This STANDARD is not met as evidenced by: Based on surveyor review of documented humidity readings in the laboratory and interview with a technical consultant (Staff A), the laboratory director did not ensure the laboratory could meet its established humidity range in January and February 2025, two of two winter months reviewed. Findings include: 1. Review of the "Temperature Recording Log" indicated the laboratory's humidity range was 30% to 85%. Review of the "Temperature Recording Log" records from January and February 2025 showed the laboratory documented daily humidity readings. Testing personnel documented readings that were less than 30% every day in January and February 2025. 3. Interview with Staff A on November 4, 2025, at 3:45 PM confirmed the laboratory's humidity range was 30% to 85%, that the daily humidity readings were less than 30% during the two months reviewed, and that the laboratory director did not ensure the laboratory could meet its humidity range in January and February 2025. -- 2 of 2 --

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Survey - November 18, 2021

Survey Type: Standard

Survey Event ID: 906M11

Deficiency Tags: D5787

Summary:

Summary Statement of Deficiencies D5787 TEST RECORDS CFR(s): 493.1283(a) The laboratory must maintain an information or record system that includes the following: (a)(1) The positive identification of the specimen. (a)(2) The date and time of specimen receipt into the laboratory. (a)(3) The condition and disposition of specimens that do not meet the laboratory's criteria for specimen acceptability. (a)(4) The records and dates of all specimen testing, including the identity of the personnel who performed the test(s). This STANDARD is not met as evidenced by: Based on surveyor review of test records and interview with the technical consultant, the laboratory has not maintained a record system that recorded the identity of the testing person when hematology test results met parameters that allowed the results to automatically transfer to the electronic medical record (EMR) without review by the testing person (auto-file). Findings include: 1. Review of testing records from the Sysmex analyzer, laboratory information systems (Epic Beaker and Sysmex WAM), and the Epic EMR showed no record of the individual that operated the hematology analyzer to test specimens when results auto-filed from the Sysmex hematology analyzer through Sysmex WAM to the EMR. 2. Interview with the technical consultant (staff A) on November 18, 2021 at 12:35 PM confirmed the laboratory did not have a record system that retained the identity of the individual performing hematology testing when results auto-filed to the EMR. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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