Froedtert Community Hospital - Mequon

CLIA Laboratory Citation Details

2
Total Citations
6
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 52D2245608
Address 11421 N Port Washington Rd, Mequon, WI, 53092
City Mequon
State WI
Zip Code53092
Phone(262) 518-4910

Citation History (2 surveys)

Survey - April 18, 2024

Survey Type: Standard

Survey Event ID: ZQJ311

Deficiency Tags: D6019 D6046 D6070 D6070

Summary:

Summary Statement of Deficiencies D6019 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(4)(iv) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(4)(iv) Ensure that an approved

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Survey - November 9, 2022

Survey Type: Standard

Survey Event ID: A12X11

Deficiency Tags: D3031 D3031

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 laboratory records and interview with the laboratory director, the laboratory did not retain accurate expiration dates for quality control (QC) performed on the Sysmex XN-330 hematology analyzer from May through August 2022 and did not document changes in lot numbers and expiration date during the month of use. Findings include: 1. Review of the "Sysmex Maintenance Log" showed the following QC lot numbers and expiration dates: Month/Lot/Expiration date recorded May/2070/June 21, 2022 June/2070/June 7, 2022 July/2154/July 11, 2022 August/2154/August 15, 2022 Further review showed no documentation of when new lots were opened and in use. 2. Interview with the laboratory director on November 9, 2022, at 12:15 PM confirmed the laboratory did not retain accurate expiration dates for quality control (QC) performed on the Sysmex XN-330 hematology analyzer from May through August 2022 and did not document changes in lot numbers and expiration date during the month of use. 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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