Bellefonte Cancer Center

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 18D0324717
Address 122 St Christopher Dr, Ashland, KY, 41101
City Ashland
State KY
Zip Code41101
Phone(606) 836-0202

Citation History (1 survey)

Survey - May 17, 2018

Survey Type: Standard

Survey Event ID: QWZ811

Deficiency Tags: D6046 D6046

Summary:

Summary Statement of Deficiencies D6046 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(8) (b) The technical consultant is responsible for-- (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. This STANDARD is not met as evidenced by: Based on interview and record review, it was determined the Technical Consultant failed to perform and document annual competency using the six (6) mandated competency assessment requirements for testing personal. Competency assessment was performed using only two (2) of six (6) methods of assessment for nine (9) out of nine ( 9) employees from January 1, 2016 through May 16, 2018. Findings include: Record review revealed competency assessments failed to include monitoring the recording and reporting of test results, review of worksheets, review of quality control records, review of maintenance records and assessing the skills for solving problems. An interview with the staff on 05/17/18 at 9:48 AM, revealed the facility failed to have a system in place to ensure competency was performed using all six (6) mandated competency assessment requirements. 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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