Forefront Dermatology, Sc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 52D2108034
Address 1320 Pabst Farms Cir Ste 180, Oconomowoc, WI, 53066
City Oconomowoc
State WI
Zip Code53066
Phone(262) 560-0322

Citation History (2 surveys)

Survey - February 6, 2024

Survey Type: Standard

Survey Event ID: SRHX11

Deficiency Tags: D3013 D5791

Summary:

Summary Statement of Deficiencies D3013 FACILITIES CFR(s): 493.1101(e) Records and, as applicable, slides, blocks, and tissues must be maintained and stored under conditions that ensure proper preservation. This STANDARD is not met as evidenced by: Based on surveyor observation of retained slides in the laboratory and interview with the regional manager, staff A, the laboratory did not maintain slides in a manner that ensured their preservation; staff could not separate multiple stored slides in one of four cases performed in 2023 and 2024. Finding include: 1. Observation of retained slides on February 6, 2024, at 1:30 PM from four cases reviewed from 2023 and 2024 showed slides for two stages on patient 1 were stuck together and could not be separated to review individually. 2. Interview with staff A on February 6, 2024, at 1: 30 PM, confirmed the laboratory did not store the slides in a manner that ensure proper preservation to allow review of individual slides. D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1289(a)(c) (a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess, and when indicated, correct problems identified in the analytic systems specified in 493.1251 through 493.1283. (c) The laboratory must document all analytic systems assessment activities. This STANDARD is not met as evidenced by: Based on surveyor review of the Mohs surgery log and patient records, observation of slides and interview with the regional manager, staff A, the laboratory did not correct problems identified when the patient's name was spelled incorrectly for one of four 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 -- cases reviewed. Findings include: 1. Review of the Mohs surgery log showed the last name of patient 2 was spelled with 'ei' in the middle. 2. Review of patient reports in the electronic health records (EHR) showed no patient with a name that matched patient 2 from the Mohs surgery log. Further review found patient 2 using their birthdate and the last name was spelled with 'ie' in the middle. 3. Observation of slides on February 6, 2024, at 1:35 PM showed the last name of patient 2 was spelled with 'ei' in the middle. 4. Interview with staff A on February 6, 2024, at 1:35 PM confirmed the laboratory did not correct problems identified with the mohs log and slide labeling. -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - March 31, 2022

Survey Type: Standard

Survey Event ID: SY8N11

Deficiency Tags: D6068

Summary:

Summary Statement of Deficiencies D6068 TESTING PERSONNEL RESPONSIBILITIES CFR(s): 493.1425 The testing personnel are responsible for specimen processing, test performance, and for reporting test results. This STANDARD is not met as evidenced by: Based on surveyor review of patient electronic medical records (EMR), quality control (QC) worksheets, and interview with the regional manager, testing personnel did not report test results for one of three potassium hydroxide (KOH) test results reviewed. Findings include: 1. Review of three patient EMR for KOH results showed the result for patient 1 was "Examination of the slide showed: +/- results. 2. Review of the "Bi-Annual QC of KOH specimens" for the second half of 2021 showed the diagnostic interpretation for patient 1 was positive. 3. Interview with the regional manager (staff A) on March 31, 2022 at 10:10 AM confirmed the testing personnel did not accurately report the test result in the patient EMR for patient 1. 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 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access