Cary Behavioral Health, Pc

CLIA Laboratory Citation Details

2
Total Citations
31
Total Deficiencyies
15
Unique D-Tags
CMS Certification Number 34D2086064
Address 160 Ne Maynard Road, Suite 200, Cary, NC, 27513
City Cary
State NC
Zip Code27513
Phone(919) 466-7540

Citation History (2 surveys)

Survey - January 28, 2022

Survey Type: Standard

Survey Event ID: EP1E11

Deficiency Tags: D5423 D5439 D5439 D3031 D5403 D5423

Summary:

Summary Statement of Deficiencies D3031 RETENTION REQUIREMENTS CFR(s): 493.1105(a)(3) Analytic systems records. Retain quality control and patient test records (including instrument printouts, if applicable) and records documenting all analytic systems activities specified in 493.1252 through 493.1289 for at least 2 years. This STANDARD is not met as evidenced by: Based on review of 2020, 2021 and 2022 toxicology calibration records, review of calibration records retained on the Diatron 500 analyzer, interview with technical consultant (TC) and interview with testing personnel (TP#1) 1/28/22, the laboratory failed to retain all records needed to document calibration performed on the Diatron 500 analyzer in 2020, 2021 and 2022. 1. The laboratory failed to document dates of calibrations and lot numbers of reagents calibrated for all toxicology calibrations performed in 2020. Findings: a. Review of 2020 calibration records revealed the records had the date in which the calibration was printed from the Diatron 500 analyzer and the lot number of quality control in use. The records failed to include the date the calibration was performed and also failed to indicate the lot number of reagent calibrated. b. Review of Diatron 500 analyzer record database revealed the analyzer failed to retain the toxicology calibrations for 2020. c. Interview with TC at approximately 1:30 p.m. confirmed the laboratory failed to document the date calibrations were performed and lot number of the reagent calibrated. She also stated the previous TP would have downloaded the calibration records from the Diatron 500 analyzer but they were unable to locate the database file in the laboratory's computer system. 2. The laboratory failed to document the reagent lot number for all toxicology calibrations performed in 2021 and 2022. a. Review of 2021 and 2022 toxicology calibration records revealed the records failed to include the lot number of reagent calibrated. b. Interview with TP #1 at approximately 1:30 p.m. confirmed the records failed to include the lot number of reagent calibrated. He stated the analyzer does not have the capability to allow entry of the reagent lot number. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 4 -- D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - July 23, 2018

Survey Type: Standard

Survey Event ID: VL7411

Deficiency Tags: D5411 D5423 D5439 D5779 D5411 D5423 D5439 D5779 D6098 D8103 D6093 D6094 D6095 D6098 D2009 D5217 D5403 D6076 D6086 D6093 D6094 D6095 D6076 D6086 D8103

Summary:

Summary Statement of Deficiencies D2009 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The individual testing or examining the samples and the laboratory director must attest to the routine integration of the samples into the patient workload using the laboratory's routine methods. This STANDARD is not met as evidenced by: Based on review of 2018 American Proficiency Institute (API) proficiency testing (PT) records and interview with technical supervisor (TS) 07/23/18, the laboratory director and testing personnel failed to sign attestation statements for the PT performed. Review of 2018 API remedial kit PT records revealed no attestation statement for the PT performed. Review of 2018 API - 2018 Chemistry - Miscellaneous - 1st Event PT records revealed no attestation statement for the PT performed. Interview with TS at approximately 2:30 p.m. confirmed the testing personnel and the laboratory director did not sign attestation statements for the PT performed. D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of laboratory records, review of American Proficiency Institute (API) proficiency testing (PT) records and interview with technical supervisor (TS) 07 /23/18, the laboratory failed to verify the accuracy of all testing performed on the Mindray BS 200 at least twice annually as required. 1. Review of laboratory records Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 9 -- revealed the laboratory failed to verify the accuracy of the following testing performed on the Mindray BS 200 at least twice annually from September 2016 until January 2018, a period of approximately 15 months. a. Alcohol b. Amphetamines c. Benzodiazepines d. Cannabinoids e. Cocaine Metabolites f. Methadone g. Opiates h. Propoxyphene Review of 2018 API PT records revealed the laboratory had participated in 2 API PT events in 2018; an API remedial event, approximately January 23, 2018, and the API PT 2018 Chemistry - Miscellaneous - 1st Event for the above named analytes. Both events were scored acceptable. 2. Review of laboratory records revealed the laboratory failed to verify the accuracy of creatinine testing performed on the Mindray BS at least twice annually from September 2016 until time of survey 7/23/18, a period of approximately 22 months. Interview with TS at approximately 10:30 a.m. confirmed the laboratory failed to verify the accuracy of all testing performed on the Mindray BS 200 at least twice annually as required. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access