Summary:
Summary Statement of Deficiencies D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(d) All proficiency testing evaluation and verification activities must be documented. This STANDARD is not met as evidenced by: Based on reviews of the Quality Assurance (QA) Proficiency Testing (PT) records, the Proficiency Testing (PT) Policy and Procedure (P&P) manual, and an interview with the MOHS Tech, the Laboratory Director (LD) failed to document the final accuracy verification. The surveyor noted one of the two QA PT submissions in 2025 had a discrepancy that was not reviewed and no