Claiborne Memorial Hospital

Summary Statement of Deficiencies D0000 Revisit Survey: February 6, 2018 through February 7, 2018 A REVISIT SURVEY was performed at Claiborne Memorial Hospital - CLIA #19D0463216 on February 6, 2018 through February 7, 2018. Claiborne Memorial Hospital was found not in compliance with the following CONDITION LEVEL DEFICIENCIES. 42 CFR 493.1240 CONDITION: Preanalytic System 42 CFR 493.1250 CONDITION: Analytic System 42 CFR 493.1403 CONDITION: Laboratory Director performing moderate complexity testing 42 CFR 493.1409 CONDITION: Technical Consultant performing moderate complexity testing 11040 ______________________________________________________________________________________ Initial Survey: August 15, 2017 through August 18, 2017 A COMPLAINT SURVEY was performed at Claiborne Memorial Hospital - CLIA # 19D0463216 on August 15, 2017 through August 18, 2017. Claiborne Memorial Hospital was found not in compliance with the following CONDITION LEVEL DEFICIENCIES which constitute an IMMEDIATE JEOPARDY to the patients serviced by the laboratory: 42 CFR 493.1240 CONDITION: Preanalytic Systems. 42 CFR 493.1250 CONDITION: Analytic Systems. 42 CFR 493.1403 CONDITION: Laboratory Director performing moderate complexity testing. 42 CFR 493.1441 CONDITION: Laboratory Director performing high complexity testing. 42 CFR 493.1409 CONDITION: Technical Consultant performing moderate complexity testing. 42 CFR 493.1447 CONDITION: Technical Supervisor performing high complexity testing. 42 CFR 493.1459 CONDITION: General Supervisor performing high complexity testing. 42 CFR 493.1487 CONDITION: Testing Personnel performing high complexity testing. 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 --