Bond And Steele Clinic Pa D/B/A Bond Clinic Pa

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 10D1039920
Address 325 1st St South, Ste 303, Winter Haven, FL, 33881
City Winter Haven
State FL
Zip Code33881
Phone863 293-1191
Lab DirectorAHMAD EL-FAR

Citation History (2 surveys)

Survey - January 3, 2023

Survey Type: Standard

Survey Event ID: H0PN11

Deficiency Tags: D5413 D0000 D5415

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Bond and Steele Clinic PA dba Bond Clinic PA on 01/03/23. The laboratory is not in compliance with 42 CFR Part 493, Requirements for Laboratories. The following is a description of the standard level deficiencies: D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on review of the hematology analyzer's user manuals, lack of documentation, and interview with the Laboratory Manager, the laboratory failed to document the room temperature and humidity where the old and new hematology analyzers were located for two out of two years (2020 - 2022). Findings Included: Review of the hematology analyzer's user manual, which was in use from July 31, 2020 through December of 2021, revealed the "ambient" (room) temperature had to be 16 - 35 degrees Celsius or 61 - 95 degree Fahrenheit and the room humidity had to be less than 85%. Review of the new hematology analyzer's user manual (installed January 2022) revealed the "ambient" temperature had to be 15 - 35 degrees Celsius and the room humidity had to be 20 - 85%. Interview on 01/03/23 at 12:15 p.m. with the Laboratory Manager revealed she did not know the hematology analyzers had room temperature and humidity requirements. No documentation of room temperature and humidity from July 31, 2020 - January 3, 2023 could be provided. 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 -- D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(c) Reagents, solutions, culture media, control materials, calibration materials, and other supplies, as appropriate, must be labeled to indicate the following: (1) Identity and when significant, titer, strength or concentration. (2) Storage requirements. (3) Preparation and expiration dates. (4) Other pertinent information required for proper use. This STANDARD is not met as evidenced by: Based on observation and interview with Testing Personnel #C, the laboratory failed to label the 3 levels of hematology controls (L1, L2, and L3 XN - L Check) with the date opened at time of survey. Findings Included: During a tour of the laboratory on 01 /03/23 at 11:10 AM, 3 levels of hematology controls ( L1, L2, and L3) were observed in a cup in the refrigerator. The date opened or the expiration date after opening was not indicated on the controls. Record review of the XN Check instructions for use revealed that "... open vial stability of 7 days if stored at 2 - 8 degrees Celsius". On 01 /03/23 at 11:15 AM, Testing Personnel #C stated she thought controls were opened before Christmas. -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - August 7, 2018

Survey Type: Standard

Survey Event ID: 3J2O11

Deficiency Tags: D5413 D5791

Summary:

Summary Statement of Deficiencies D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on observation and interview with the Laboratory Manager, the laboratory failed to document refrigerator (where Hematology Controls were stored) temperatures for one of one month in which the refrigerator had been in use. Findings Included: Observation during the tour of the laboratory on 08/07/2018 at 12:15 PM revealed hematology controls were being stored in a refrigerator. Refrigerator temperature logs were not available upon request by the surveyor. Interview on 08/07 /2018 at 1:45 PM with the Laboratory Manager revealed the laboratory had just installed the refrigerator about a month ago. She stated, they had forgotten to put a thermometer in the refrigerator and instruct Testing Personnel #A to take daily temperatures. D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1289(a)(c) (a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess, and when indicated, correct problems identified in the analytic systems specified in 493.1251 through 493.1283. (c) The laboratory must document all analytic systems assessment activities. 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 record review and staff interview, the laboratory failed to have a Quality Assessment policy and procedure in place for two of two years reviewed (2016-2018). Findings included: Record review on 08/07/2018 of the policy and procedure manual signed by the laboratory director showed no policy or procedure was in place for Quality Assessment. Interview with the Laboratory Manager on 08/07/18 at 1:30 PM revealed they did not know they needed a Quality Assessment policy and procedure. -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access