Gmg Tunkhannock

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 39D0192921
Address 809 Hunter Hwy, Tunkhannock, PA, 18657
City Tunkhannock
State PA
Zip Code18657
Phone(570) 996-2700

Citation History (2 surveys)

Survey - October 25, 2022

Survey Type: Standard

Survey Event ID: RYXQ11

Deficiency Tags: D5473 D5473

Summary:

Summary Statement of Deficiencies D5473 CONTROL PROCEDURES CFR(s): 493.1256(e)(2)(g) (e) For reagent, media, and supply checks, the laboratory must do the following: (e) (2) Each day of use (unless otherwise specified in this subpart), test staining materials for intended reactivity to ensure predictable staining characteristics. Control materials for both positive and negative reactivity must be included, as appropriate. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on review of Manual Differential Stain Quality control (QC) and interview with the General Supervisor (GS) and Team Leader (TM), the laboratory failed to document the manual differential stain Quality Control for negative and positive reactivity each day of patient testing from 8/25/2020 to the day of survey. Finding Include: 1. At the time of the survey 10/25/2022 at 13:50 PM, a review of the manual differential QC record revealed that only checkmarks were documented for manual differential statin QC from 8/25/2020 to the day of survey. 2. The checkmark did not indicate the negative or positive reactivity of the control materials. 2. The GS and TM confirmed the findings above on 10/25/2022 at 15:16 PM. 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 - August 25, 2020

Survey Type: Standard

Survey Event ID: IDBR11

Deficiency Tags: D5209 D5449 D5449

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on review of the laboratory procedure manuals, personnel competency assessment records and interview with the technical supervisor (TS) and quality coordinator, the laboratory failed to follow their competency assessment program to assess the competency for 3 of 3 TP performing manual differential examinations in 2018 and 2019 and for 1 of 2 consultant/supervisors for their regulatory responsibilities in 2019. Findings Include: 1. The Competency Assessment Program Policy states, #3. "Each non-waived method/instrument platform must include all six elements of competency in the assessments" , and #7. "The performance of delegated section directors/technical supervisors general supervisors and clinical and technical consultants must be assessed annual." 2. On the day of survey, 08/25/2020, the TS and quality coordinator could not provide documentation of competency assessments performed annually for 1 of 2 TS's (also listed as the technical consultant and general supervisor) for their regulatory responsibilities in 2019. 3. The labortaory could not provide competency assessments for 3 of 3 testing personnel performing manual differential examinations that include all six elements of competency in 2018 and 2019. 4. The TS and quality coordinator confirmed the findings above on 08/25/2020 around 9:15 am. D5449 CONTROL PROCEDURES CFR(s): 493.1256(d)(3)(ii)(g) Unless CMS Approves a procedure, specified in Appendix C of the State Operations 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 -- 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 review of quality control (QC) records, and interview with the technical supervisor (TS) and quality coordinator, the laboratory failed to document QC for urine sediment microscopic examinations and manual differentials each day of patient testing separately from 03/21/2018 to the day of survey. Findings Include: 1. On the day of survey, 08/25/2020, review of urine sediment microscopic examinations and manual differentials QC records revealed, visual QC's were performed for both tests on the same sheet each day of patient testing. 2. The TS could not differentiate which days QC's were performed for urine sediment microscopic examinations and or for manual differentials examination in 2018, 2019 and 2020. 3. In 2018 (03/21/2018 to 12/31/2018): - 1,005 Urine Sediment Microscopic examination were analyzed. - 378 Manual differentials examination were analyzed. 4. In 2019 (01/01/2019 to 12/31 /2019): - 1,015 Urine Sediment Microscopic Examination were analyzed. - 381 Manual differentials examination were analyzed. 5. In 2020 (01/01/2020 to 08/25 /2020): - 382 Urine Sediment Microscopic Examination were analyzed. - 252 Manual differentials examination were analyzed. 6. The TS and quality coordinator confirmed on 08/25/2020 around 10:00 am. -- 2 of 2 --

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