Four Women Health Services Llc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 22D0945040
Address 150 Emory Street, Attleboro, MA, 02703
City Attleboro
State MA
Zip Code02703
Phone(508) 222-7555

Citation History (2 surveys)

Survey - February 21, 2024

Survey Type: Standard

Survey Event ID: HZHP11

Deficiency Tags: D6054 D6054

Summary:

Summary Statement of Deficiencies D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on review of the laboratory's testing personnel (TP) competency and American Proficiency Institute (API) proficiency testing (PT) records and staff interview with the nurse manager (NM), the Technical Consultant (TC) failed to ensure TP had yearly competency assessment using all required elements to ensure their ability to perform test procedures accurately in the specialty of Immunohematology. Findings include: 1. Record review on 2/21/2024 of the laboratory's 2023 TP competency records for the 3 TP listed on the CMS form 209 revealed, TP1 did not have documented competency assessment in 2023 for Rh typing. 2. Record review on 2/21 /2024 of the laboratory's 2023 API PT records revealed, TP1 participated in API PT Immunohematology 2023 Event 1. 3. Record review on 2/21/2024 of the laboratory's 'Testing of Proficiency Samples Policy' signed by the laboratory director (LD) on 10 /23/2015," revealed, "As part of ongoing training and evaluation of staff that routinely perform moderate complexity testing, on patients, the laboratory LD and TC will perform initial, six month, and annual evaluations of staff." 4. Staff interview on 2/21 /2024 at 10:00 AM with the NM: a. confirmed TP1 did not have documented Rh typing competency assessment in 2023 for 5 of 6 required elements and only performed PT. b. The NM stated, "The last paragraph of the 'Testing of Proficiency Samples Policy,' pertains to competency assessment of TP. The laboratory's competency assessment policy is contained in the 'Testing of Proficiency Samples Policy' in the last paragraph." 5. The laboratory performs 837 tests annually in the specialty of Immunohematology. 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 - January 25, 2018

Survey Type: Standard

Survey Event ID: UDVS11

Deficiency Tags: D0000

Summary:

Summary Statement of Deficiencies D0000 A CLIA recertification survey was conducted for the FOur Women Health Services, LLC laboratory pursuant to the Clinical Laboratory Improvement Amendments (CLIA) of 1988 and CLIA regulations at 42 CFR 493. The laboratory was found to be in full compliance with applicable CLIA requirements. 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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