Gastroenterology Consultants Of Laredo Pathology

Summary Statement of Deficiencies 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 review of the laboratory's accuracy assessments from 2022 and 2023 for the professional component for H&E, HP Blue and ABPAS stains, and staff interview, the laboratory failed to have documentation of performing the assessments 1 of 2 times in 2022 and 1 of 2 times in 2023. The findings included: 1. A review of the laboratory's accuracy assessments from 2022 and 2023 determined assessments were performed at the following times: June 2022 June 2023 2. The laboratory did not have documentation of performing the assessments twice annually in 2022 and 2023. 3. The histotech acknowledged the facility only performed accuracy assessments once per year in 2022 and 2023. She was stated she was not aware the accuracy assessments were to be performed twice annually. This confirmed the findings. 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 --

Summary Statement of Deficiencies D0000 Noted deficiencies and plans of correction were discussed with the laboratory representatives at the entrance and exit conferences. The facility representatives were given an opportunity to provide evidence of compliance with the noted deficiency, and no such evidence was provided prior to survey exit. The facility was found to be in compliance with applicable Conditions of Participation in the CLIA program, and certification is recommended. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the