Great Lakes Gastroenterology Pllc

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 23D2057797
Address 3903 Hollywood Road, Saint Joseph, MI, 49085
City Saint Joseph
State MI
Zip Code49085
Phone(269) 408-1100

Citation History (1 survey)

Survey - August 31, 2021

Survey Type: Standard

Survey Event ID: 8VTH11

Deficiency Tags: D5209 D5209

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 record review and interview with the General Supervisor (GS), the laboratory failed to assess competency for 1 (Testing Personnel #2) of 2 testing personnel listed on the CMS-209 form. Findings include: 1. A review of the laboratory's testing personnel competency assessments revealed a lack of competency assessment for Testing Personnel #2 performing histopathology testing in 2019. 2. An interview on 8/31/21 at 11:56 am with the GS confirmed the laboratory did not have documentation of Testing Personnel #2's histopathology competency in 2019. 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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