Greater Louisville Internal Medicine

Summary Statement of Deficiencies D0000 A recertification survey was conducted on 06/04/2026 and concluded on 06/04/2026. The facility was found to not be in compliance with the laboratory requirements of 42 CFR Part 493 with standard deficiencies cited. D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(d) All proficiency testing evaluation and verification activities must be documented. This STANDARD is not met as evidenced by: Based on review of American Proficiency Institute (API) Proficiency testing events, laboratory policy, and confirmed in staff interview, the laboratory failed to evaluate Proficiency testing (PT) events for 1 of 6 testing events. Findings include: Review of 2024 Hematology/Coagulation 3rd event revealed the following: US-05 - Unacceptable-no evaluation Review of the Greater Louisville Internal Medicine, PSC Policy and Procedure Manual, (director signature 2/23/2026) titled "Proficiency Testing PT) stated, "

Summary Statement of Deficiencies D0000 A recertification survey was conducted on 03/26/2024. The facility was found not to be in compliance with the laboratory requirements of 42 CFR Part 493 with deficiencies cited. D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(d) All proficiency testing evaluation and verification activities must be documented. This STANDARD is not met as evidenced by: Based on review of laboratory policy, review of American Proficiency Institute (API) reports, and confirmed in staff interview, the laboratory failed to provide documentation of