Summary:
Summary Statement of Deficiencies D1002 REPORTING OF SARS-CoV-2 TEST RESULTS During the Public Health Emergency, as defined in 400.200 of this chapter, each laboratory that performs a test that is intended to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (hereinafter referred to as a "SARS-CoV-2 test") must report SARS-CoV-2 test results to the Secretary in such form and manner, and at such timing and frequency, as the Secretary may prescribe. This CONDITION is not met as evidenced by: Based on record review of testing documentation and result reporting spreadsheets via email and interviews with the Director of Nursing and Risk Manager, the laboratory failed to report SARS-Co-V-2 test results as required for 15 of 54 days reviewed from January 2021 through March 2021. The findings include: 1. SARS-Co-V-2 testing date documentation was reviewed via email from January 22, 2021 through March 16, 2021. 2. SARS-Co-V-2 test result reporting documentation spreadsheets were reviewed from January 22, 2021 through March 16, 2021. 3. Documentation revealed that SARS-Co-V-2 test results were not reported as required for 3 days in January 2021, 8 days in February 2021 and 4 days in March 2021. 4. Interview with the Director of Nursing and Risk Manager on March 17, 2021 at 12:30pm and documentation reviewed revealed the laboratory failed to report SARS-Co-V-2 test results as required for 15 of 54 days from January 2021 through March 2021. This COVID survey was conducted in conjunction with complaint # TN00053367. 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 --