Granite Peaks Pathology Ii, Llc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 46D1089669
Address 1393 East Sego Lily Drive, Sandy, UT, 84092
City Sandy
State UT
Zip Code84092
Phone(801) 619-9000

Citation History (2 surveys)

Survey - January 8, 2021

Survey Type: Standard

Survey Event ID: 677211

Deficiency Tags: D6128 D6128

Summary:

Summary Statement of Deficiencies D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(9) The technical supervisor is responsible for evaluating and documenting the performance of individuals responsible for high complexity testing at least annually after the first year, unless test methodology or instrumentation changes, in which case, prior to reporting patient test results, the individual's performance must be reevaluated to include the use of the new test methodology or instrumentation. This STANDARD is not met as evidenced by: Based on lack of documentation and confirmation by staff, the laboratory technical consultant failed to evaluate 1 of 1 gross analysis testing personnel annually in 2020 to evaluate and document their testing performance. The laboratory performed approximately 22105 gross analyses per year. Findings include: 1. The laboratory failed to document competency evaluations in 2020 for 1 testing person's ability to perform histopathology testing that includes: direct observation of routine patient test performance, monitoring the recording and reporting of test results; direct observation of performance of instrument maintenance and function checks; assessment of test performance through testing previously analyzed specimens; internal blind testing samples or external proficiency testing samples; and assessment of problem solving skills. 2. In an interview conducted on 01/08/2021 at approximately 10:55 A.M. staff confirmed the laboratory lacked documentation of the 2020 competency evaluation for the one person who performed specimen gross analysis. 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 10, 2018

Survey Type: Standard

Survey Event ID: L0PM11

Deficiency Tags: 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 gross analysis records review, lack of documentation, and confirmation by staff, the laboratory failed to ensure gross analysis intermediate work sheets are retained for at least 2 years for 1 of 20 test records reviewed. Findings include: 1. Gross analysis assay sheets reviewed for testing performed on specimens collected on 06/14/2018 (specimen #L18-0687) were not retained (total of 4 gross analysis work sheets) . 2. In an interview conducted on 08/10/2018 at approximately 4:15 P.M. staff stated the worksheets for specimens collected on 06/14/2018 were not properly scanned into the laboratory information system for record retention. 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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