Advanced Urology Institute, Llc

CLIA Laboratory Citation Details

2
Total Citations
7
Total Deficiencyies
7
Unique D-Tags
CMS Certification Number 10D0883791
Address 5747 38th Ave N, Saint Petersburg, FL, 33710
City Saint Petersburg
State FL
Zip Code33710
Phone727 381-8667
Lab DirectorKETAN KAPADIA

Citation History (2 surveys)

Survey - February 17, 2025

Survey Type: Standard

Survey Event ID: QITF11

Deficiency Tags: D0000 D6020 D5217 D6046

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Advanced Urology Institute, LLC on 02/17/2025. The laboratory is not in compliance with 42 CFR Part 493, Requirements for Laboratories. The following is a description of the standard level deficiencies: D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory failed to at least twice annually, verify the accuracy of the urine microscopic testing performed from 5/22/2023 to 2/17 /25. Findings include: 1. Policy titled Semi-Annual Maintenance included directions for split samples to be sent to an outside laboratory for the urine microscopic testing performed. 2. The last split sample record which was complete with acceptable comparison was 5/22/23. The next record for split sample was dated 9/6/2024 , sixteen months later, and showed "unable to compare". There was no documentation of any other split samples sent for this timeframe. The next split sample record was dated 2/13/2025, which documented discrepancies. There was no documentation of acceptable comparison of split samples for urine microscopic testing from 5/22/2023 to 2/17/2025 provided for review. 3. Testing Personnel B (TP-B), who is also the Clinical Manager, confirmed on 2/17/2025 at 10:38 AM the laboratory had not verified the accuracy of the urine microscopic testing performed at least twice annually from 5/22/23 to 2/17/25. D6020 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(5) Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 3 -- (e)(5) Ensure that the quality control and quality assessment programs are established and maintained to assure the quality of laboratory services provided and to identify failures in quality as they occur; This STANDARD is not met as evidenced by: Based on record review and interview, the Laboratory Director failed to ensure that the quality assessment program was maintained to assure the quality of laboratory services provided and to identify failures for two of two years (2023-2024). Findings include: 1. The laboratory used a Monthly Quality Assurance Checklist for the quality assurance program. From 11/2022 to 8/24/23 there were no monthly Monthly Quality Assurance Checklists provided for review. There was no documentation as to why the Monthly Quality Assurance Checklist had not been performed for eight months. 2. The Monthly Quality Assurance Checklist from 8/24/2023 to 1/3/2025 did not document the laboratory had identified the failure to at least twice annually, verify the accuracy of the urine microscopic testing performed from 5/22/2023 to 2/17/25. (See D5217). 3. The Monthly Quality Assurance Checklist from 8/24/2023 to 1/3/2025 did not indicate the laboratory had identified the failure of the Technical Consultant to evaluate the competency of eight of eight testing personnel assuring that the staff maintained their competency to perform urine microscopic testing for two of two years (2023-2024). (See D6046). 4. On 2/17/2025 at 10:35 AM, Testing Personnel B confirmed the Monthly Quality Assurance Checklist had not identified the failures as cited at D5217 and D6046, and had no documentation to show why the Monthly Quality Assurance Checklist had not been performed from 11/2022 to 8/24/2023. D6046 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(8) (b)(8) Evaluating the competency of all testing personnel and assuring that the staff maintain their competency to perform test procedures and report test results promptly, accurately and proficiently. The procedures for evaluation of the competency of the staff must include, but are not limited to-- This STANDARD is not met as evidenced by: Based on record review and interview, the Technical Consultant failed to evaluate the competency for eight of eight testing personnel TP A-H) assuring competency to perform urine microscopic testing for two of two years (2023-2024). Findings include; 1. CMS-209 Laboratory Personnel Report signed by the Laboratory Director 2/12/25 listed eight Testing Personnel other than himself. (TP-A, TP-B, TP-C, TP-D, TP-E, TP-F, TP-G, and TP-H). The designated duties list showed Employee Competencies were the responsibility of the Medical Director (Lab Director), who is also the Technical Consultant as listed on the CMS-209 Laboratory Personnel Report signed by the Laboratory Director on 2/12/25. 2. Personnel competency records showed: TP- A had an annual competency dated 12/5/23 and 2/3/25 performed by TP-B. There was no documentation of annual competency for 2024. TP-B had an annual competency for 10/12/22 and 2/3/25 performed by TP-C. There was no documentation of annual competency for 2023 or 2024 although TP-B documented performing testing personnel competencies during 2023 and 2024. TP-C had an annual competency dated 12/5/23 and 2/3/25 performed by TP-B. There was no documentation of annual competency for 2024. TP-D had an annual competency dated 12/5/23 and 2/3/25 performed by TP-B. There was no documentation of annual competency for 2024. TP- E had an initial competency dated 7/1/24 and 6 month dated 2/3/25 both performed by -- 2 of 3 -- TP-B. TP-F had an annual competency dated 12/5/23 and 2/3/25 performed by TP-B. There was no documentation of annual competency for 2024. TP-G had an initial competency dated 12/14/23, 6 month dated 7/31/24, and an annual dated 2/3/25 all performed by TP-B. TP-H had an annual competency dated 12/5/23 and 2/3/25 performed by TP-B. There was no documentation of annual competency for 2024. 3. On 2/17/2025 at 10:10 AM, TP-B confirmed the Technical Consultant had not evaluated the competencies of laboratory staff from 2023-2024. -- 3 of 3 --

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Survey - April 16, 2018

Survey Type: Standard

Survey Event ID: Y6O711

Deficiency Tags: D5209 D5445 D5213

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on competency record review and interview with the Medical Laboratory Technician (MLT), the laboratory failed to perform competency evaluations for urine microscopy for three (#10, #11,and #12) out of 12 Testing Personnel. Findings included: A review of the laboratory's CMS-209 Form titled Laboratory Personnel Report revealed Employees #10, #11, and #12 were testing personnel and medical doctors. During the competency record review it was discovered that Testing Personnel #10, #11, and #12 did not have competency records for performing urine microscopy. During an interview on 04/16/18 at 10:15 AM, the MLT confirmed that competency evaluations had not been performed on the three Testing Personnel ( #10, #11, and #12). D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(b)(1) The laboratory must verify the accuracy of any analyte or subspecialty without analytes listed in subpart I of this part that is not evaluated or scored by a CMS- approved proficiency testing program. This STANDARD is not met as evidenced by: Based on Split Sample Testing record review for two out of two years (2016-2018) and interview with Medical Laboratory Technician (MLT), the laboratory failed to 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 -- allow all Testing Personnel to perform Split Sample Testing. Findings included: During record review of Split Sample Testing records for two out of two years (2016- 2018) it was found that Testing Personnel names were not on the Split Sample Testing records for 03/16, 08/16, 02/17, 08/17 and 02/18. During interview on 04/16/18 at 10: 30 AM, the MLT stated that the Split Sample Testing was only performed by the MLT. D5445 CONTROL PROCEDURES CFR(s): 493.1256(d)(1)(2)(g) Unless CMS Approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub. 7), that provides equivalent quality testing, the laboratory must-- (d)(1) Perform control procedures as defined in this section unless otherwise specified in the additional specialty and subspecialty requirements at 493.1261 through 493.1278. (d)(2) For each test system, perform control procedures using the number and frequency specified by the manufacturer or established by the laboratory when they meet or exceed the requirements in paragraph (d)(3) of this section. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on observation, Quality Control record review, and interview with the Medical Laboratory Technician (MLT), the laboratory failed to perform quality control for urine microscopics for two out of two years (2016-2018). Findings included: An initial tour of the laboratory on 4/16/18 at approximately 9:40 a.m. revealed there were no pictographs to reference urine sedimentation. During Quality Control record review it was revealed there were no Urine Microscopic Quality Controls records. During an interview on 04/16/18 at 10:30 AM, the MLT stated that Quality Control was not performed for Urine Microscopics. -- 2 of 2 --

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