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 surveyor review of the Accession Log and interview with the Testing Personnel (TP), the laboratory failed to retain patient test records for Mohs tests from 6 /14/18 to the date of the survey. The finding includes: 1. Five out of ten Patient work records Mohs Map (MM) were not available for review. 2. The TP #3 listed on CMS form 209 confirmed at 10:45 am 9/11/18 MM was not retained. 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 --