First Care Health Center

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 35D0408612
Address 115 Vivian St, Park River, ND, 58270
City Park River
State ND
Zip Code58270
Phone(701) 284-7500

Citation History (2 surveys)

Survey - July 30, 2026

Survey Type: Standard

Survey Event ID: CT7F11

Deficiency Tags: D5215 D6102

Summary:

Summary Statement of Deficiencies D5215 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(b)(2) The laboratory must verify the accuracy of any analyte, specialty or subspecialty assigned a proficiency testing score that does not reflect laboratory test performance (that is, when the proficiency testing program does not obtain the agreement required for scoring as specified in subpart I of this part, or the laboratory receives a zero score for nonparticipation, or late return or results). This STANDARD is not met as evidenced by: Based on record review, staff interview, and policy review, the laboratory failed to verify the accuracy of results for 1 of 3 Chemistry Core events (Chemistry Core 2nd Event 2025) the American Proficiency Institute (API) assigned as not graded. The laboratory performed 4,370 total bilirubin patient tests in the past year. Findings include: 1. Reviewed the afternoon of 07/29/26, the 2nd Event 2025 Chemistry Core proficiency testing showed Total Bilirubin samples CH-07, CH-09, and CH-10 as not graded. The laboratory failed to evaluate the not graded results. 2. During an interview at 3:45 p.m. on 07/29/26, a Laboratory Manager (#1) confirmed the laboratory failed to evaluate the 2nd Event 2025 Total Bilirubin not graded results. 3. Reviewed on 07 /29/26, the policy "Evaluation of Proficiency Testing Results," dated 07/2005, stated, ". . . Any analyte not evaluated . . . will be investigated. . . ." D6102 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(12) (e)(12) Ensure that prior to testing patients specimens, all personnel have the appropriate education and experience, receive the appropriate training for the type and complexity of the services offered, and have demonstrated that they can perform all testing operations reliably to provide and report accurate results; 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 -- This STANDARD is not met as evidenced by: Based on record review, staff interview, and policy review, the Laboratory Director failed to ensure 5 of 5 testing personnel (Testing Personnel #1, #2, #3, #4, and #5) received appropriate training and demonstrated reliable testing performance before reporting patient results on two new moderately complex test kits (TechLab Leuko EZ Vue [detects fecal lactoferrin, a marker for fecal leukocytes] and Fisher Healthcare Sure-Vue STAT Serum/Urine HCG [human chorionic gonadotropin]). Findings include: 1. Reviewed at 11:12 a.m. on 07/29/26, the testing personnel records failed to include documentation of appropriate training and demonstration of reliable testing performance for Testing Personnel (#1, #2, #3, #4, and #5) before reporting patient results on the TechLab Leuko EZ Vue and Fisher Healthcare Sure-Vue STAT Serum /Urine HCG test kits. 2. Reviewed at 5:32 p.m. on 07/29/26, the February 2025 verification of performance specifications records for the TechLab Leuko EZ Vue test kit failed to include documentation of appropriate training and demonstration of reliable testing performance for Testing Personnel (#1, #2, #3, #4, and #5). 3. Reviewed at 5:40 p.m. on 07/29/26, the January 2025 verification of performance specifications records for the Fisher Healthcare Sure-Vue STAT Serum/Urine HCG test kit failed to include documentation of appropriate training and demonstration of reliable testing performance for Testing Personnel (#1, #2, #3, #4, and #5). 4. Upon request on 07/29/26, the laboratory failed to provide evidence of training for Testing Personnel (#1, #2, #3, #4, and #5) for the TechLab Leuko EZ Vue and Fisher Healthcare Sure-Vue STAT Serum/Urine HCG test kits. 5. During an interview in the afternoon of 07/29/26, the Laboratory Manager (#1) stated Testing Personnel (#1, #2, #3, #4, and #5) had performed patient testing on the TechLab Leuko EZ Vue and Fisher Healthcare Sure-Vue STAT Serum/Urine HCG test kits and confirmed the laboratory failed to document training and demonstration of reliable testing performance for Testing Personnel (#1, #2, #3, #4, and #5) on the TechLab Leuko EZ Vue and Fisher Healthcare Sure-Vue STAT Serum/Urine HCG test kits. 6. Reviewed on 07/29/26, the policy "Method Evaluation," dated 07/2005, stated, ". . . Implementation . . . Instruct laboratory personnel on procedure . . ." -- 2 of 2 --

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Survey - September 10, 2024

Survey Type: Standard

Survey Event ID: IZ8Q11

Deficiency Tags: D5449

Summary:

Summary Statement of Deficiencies D5449 CONTROL PROCEDURES CFR(s): 493.1256(d)(3)(ii)(g) Unless CMS Approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub. 7), that provides equivalent quality testing, the laboratory must-- At least once a day patient specimens are assayed or examined perform the following for-- Each qualitative procedure, include a negative and positive control material; (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on record review, staff interview, and policy/procedure review, the laboratory failed to perform a positive and negative control each day of patient testing for Helicobacter pylori (H. pylori) antigen tests for 8 of 9 patient testing days (04/11, 04 /24, 04/30, 06/21, 07/12, 07/25, 07/27, and 08/02) since the start of a new test method in April 2024. The laboratory performed eight H. pylori antigen tests on days with no quality control (QC) performance in April-August 2024. Findings include: 1. Reviewed on 09/10/24, the patient testing records for H. pylori antigen indicated performance of one patient test using the TechLab H. pylori Quik Chek test kit on the following days in April-August 2024: 04/11, 04/24, 04/30, 05/31, 06/21, 07/12, 07/25, 07/27, and 08/02. 2. Reviewed on 09/10/24, the April-August 2024 QC records for H. pylori antigen failed to include evidence of the performance of positive and negative controls on the following patient testing days: 04/11, 04/24, 04/30, 06/21, 07/12, 07 /25, 07/27, and 08/02. 3. During interview at 8:55 a.m. on 09/10/24, a technical supervisor (#1) confirmed the laboratory failed to perform QC each day of patient testing for H. pylori antigen since the lab started using a new test method in April 2024. 4. Reviewed on 09/10/24, the policy/procedure "H. pylori Antigen," dated 07 /2023, stated, ". . . Procedure: . . . Classified as moderately complex . . . Quality Control - . . . External Quality control - . . . a positive and negative external control is 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 -- performed when opening a new kit and monthly. . . ." The policy/procedure failed to require the performance of a positive and negative external control each day of patient testing. -- 2 of 2 --

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