Dr Anderson - Foot And Ankle Specialists Of Ut

CLIA Laboratory Citation Details

3
Total Citations
12
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 46D2116123
Address 596 W 750 S, Suite 105, Bountiful, UT, 84010
City Bountiful
State UT
Zip Code84010
Phone801 292-4425
Lab DirectorDAVID MEHR

Citation History (3 surveys)

Survey - February 19, 2025

Survey Type: Standard

Survey Event ID: ZB5B11

Deficiency Tags: D2000 D2000

Summary:

Summary Statement of Deficiencies D2000 ENROLLMENT AND TESTING OF SAMPLES CFR(s): 493.801 Each laboratory must enroll in a proficiency testing (PT) program that meets the criteria in subpart I of this part and is approved by HHS. The laboratory must enroll in an approved program or programs for each of the specialties and subspecialties for which it seeks certification. The laboratory must test the samples in the same manner as patients' specimens. For laboratories subject to 42 CFR part 493 published on March 14, 1990 (55 FR 9538) prior to September 1, 1992, the rules of this subpart are effective on September 1, 1992. For all other laboratories, the rules of this subpart are effective January 1, 1994. This CONDITION is not met as evidenced by: Based on lack of documentation for Proficiency Testing (PT), and interview with Technical Supervisor (TS), the laboratory failed to enroll in Proficiency Testing for the specialty of microbiology for Nail PCR Panel and Would PCR Panel tests performed on the Quant Studio 3 instrument. The laboratory performed approximately 2,850 tests annually. Findings include: 1. A laboratory record review revealed lack of Proficiency Testing documentation for Nail and Would PCR Panel for the specialty of microbiology testing. 2. Interview with TS on 02/19/2025, at 1:17 PM, confirmed the laboratory was not enrolled in PT for the specialty of microbiology testing for Wound and Nail PCR panel. 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 --

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Survey - February 1, 2021

Survey Type: Standard

Survey Event ID: MCNT11

Deficiency Tags: D3031 D5217 D3031 D5217

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 quality control records review, lack of documentation, and interview with staff, the laboratory failed to retain special stain quality control records for at least 2 years for 2 of 5 special stain cases reviewed from 02/04/2019 to 12/10/20 and failed to retain quality control slides for at least 2 years for 1 of 5 special stain cases reviewed. The laboratory performed approximately 1800 histopathology cases per year. Findings include: 1. Quality control records Fortanna Masson (FM),Grocotts Methenamin Silver (GMS), and Peroxidase Acid Schiff (PAS) special stains, review failed to include documentation for the results of the special stain interpretation for stain batches read on 02/04/2019 and 12/10/2020. 2. Special stain quality control slide review failed to include a special stain control slide for GP0050 for FM, GMS, and PAS special stains on 08/07/2019. 3. In an interview conducted on 02/01/2021 at approximately 11:00 A.M. staff confirmed they did not retain QC interpretation documentation for special stains performed on 02/04/2019 and 12/10/2020. 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: Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- Based on quality assurance records review, lack of documentation and interview with staff, the laboratory failed to verify histopathology test accuracy at least twice annually for 1 of 2 years of testing reviewed, (2019). The laboratory performed approximately 1800 histology tests per year. Findings include: 1. Quality assurance records failed to include a second test accuracy verification in 2019. 2. In an interivew with staff on 02/01/2021 at approximately 11:00 A.M. staff confirmed documentation verified the laboratory performed test accuracy verification once in 2019 (09/20 /2019). -- 2 of 2 --

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Survey - October 5, 2018

Survey Type: Standard

Survey Event ID: FMFC11

Deficiency Tags: D5217 D5435 D5209 D5209 D5217 D5435

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on lack of documentation and interview with staff, the laboratory failed to establish and follow a written procedure to assess employee competency for 1 of 2 test specialties reviewed, histopathology. The testing person performed approximately 1800 tests per year. Findings include: 1. The laboratory lacked a procedure to assess gross analysis testing personnel competency. 2. The laboratory lacked documentation gross analysis testing personnel were evaluated for competency between 03/2017 and 10/2018. 3. In an interview with staff on 10/05/2018 at approximately 2:00 P.M. staff confirmed the laboratory lacked a procedure to follow for assessment of gross analysis testing personnel competency. 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 lack of documentation, procedure manual review and interview with staff, the laboratory failed to verify Epidermal Nerve Fiber Density (ENFD) test accuracy at least twice annually in 2017. Findings include: 1. The laboratory failed to document they verified the accuracy of ENFD testing twice annually in 2017. 2. Procedure Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- manual review included the quality assessment policy stating twice annual test verification for ENFD testing would be performed in February and August annually. 3. In an interview with staff on 10/05/2018 at approximately 2:00 P.M. staff confirmed the laboratory failed to document twice annual ENFD test accuracy twice annually in 2017. D5435 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(b)(2) For equipment, instruments, or test systems developed in-house, commercially available and modified by the laboratory, or maintenance and function check protocols are not provided by the manufacturer, the laboratory must: (i) Define a function check protocol that ensures equipment, instrument, and test system performance that is necessary for accurate and reliable test results and test result reporting. (ii) Perform and document the function checks, including background or baseline checks, specified in paragraph (b)(2)(i) of this section. Function checks must be within the laboratory's established limits before patient testing is conducted. This STANDARD is not met as evidenced by: Based on maintenance records review, lack of documentation, patient test records review, and interview with staff, the laboratory failed to follow the laboratory procedure to document the cryostat instrument was operating within the range of -20 to -30 degrees Centigrade for 5 of 19 months of testing reviewed (May through September 2018). Findings include: 1. Maintenance records review failed to include the cryostat operating temperature from May 1, 2018 to October 5,2018. 2. Patient test records reviewed for frozen section testing performed on 08/30/2018 for EN-18-20, and on 09/28/2018 for EN18-37 included test records the cryostat was used for specimen preparation on 08/30/2018 and 09/28/2018. 3. In an interview conducted on 10/05/2018 at approximately 12:30 P.M. staff confirmed the laboratory changed maintenance chart formats and cryostat temperature was left off since April 30 2018. -- 2 of 2 --

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