Summary:
Summary Statement of Deficiencies D0000 An announced focused survey for compliance with SARS-CoV-2 test result reporting requirements was conducted remotely at the Carrington Cottage Memory Care Center on February 17, 2021 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Requirements. Initial interview and CMS Letter to Director for the Focused Survey sent on February 1, 2021. Specific deficiencies cited are as follows: The laboratory was not in compliance with the following 42 CFR part 493 CLIA Regulations: D1002 - 42 C.F.R. 493-41 Condition: Reporting of SARS-CoV-2 Test Reports. 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 and interview, the lab failed to report SARS-CoV-2 negative test results for two (2) of 2 testing dates from 09/24/20 through 01/11/21. Findings include: 1. An interview on 02/17/21 at 10:30 AM and review of available SARS- CoV-2 testing documentation with the lab director (also the executive director) revealed the site performed Abbott BinaxNow Ag testing with 30 residents and 34 staff on 09/24/20 and 01/11/21. 2. 121 negative results were not reported as required during the period of review. 3. The lab director (also the executive director) confirmed the findings on 02/17/21 at 10:30 AM. 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 --