Summary:
Summary Statement of Deficiencies D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on surveyor review of the CMS-209 testing personnel report, review of competencies, and interview with the technical consultant the technical consultant failed to perform 2023 annual competency on one out of twelve testing personnel performing moderate complexity testing. Findings are: 1. Review of the CMS-209 Laboratory Personnel Report revealed twelve testing personnel performing moderate complexity testing. 2. Review of 2023 annual competencies presented at time of survey revealed testing personnel #8, as listed on the CMS-209, did not have 2023 annual competency performed. 3. Interview with the technical consultant on 11/13 /2024 at 12:57 PM confirmed testing personnel #8 did not have 2023 annual competency performed. 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 --