Greensboro Dermatology Associates, Pa

CLIA Laboratory Citation Details

2
Total Citations
8
Total Deficiencyies
7
Unique D-Tags
CMS Certification Number 34D0685301
Address 2704 St Jude Street, Greensboro, NC, 27405
City Greensboro
State NC
Zip Code27405
Phone(336) 954-7546

Citation History (2 surveys)

Survey - January 23, 2023

Survey Type: Standard

Survey Event ID: BSFV11

Deficiency Tags: D5417 D6091 D6102

Summary:

Summary Statement of Deficiencies D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on review of 2021, 2022, and 2023 DTM (dermatophyte test medium) patient records and interview with the clinical manager 1/23/23, the laboratory failed to discard expired DTM media and the media was used for patient testing. Review of DTM patient records revealed: 1. DTM lot #X15-477938 with expiration date 7/21/21 was used to test patient #549312, set up 7/28/21. 2. DTM lot #X15-482919 with expiration date 10/10/21 was used to test the following patients: a. patient #545194, set up 10/27/21; b. patient #9958, set up 11/9/21; c. patient #32671, set up 2/23/22; d. patient #553580, set up 7/18/22. During interview at approximately 1:25 p.m., the clinical manager stated the DTM lot number might not have been documented correctly on the patient log. She stated the new lot number of DTM (lot #X15-491957, expiration date 3/9/22) should have been used for patients set up on 10/27/21, 11/9/21, and 2/23/22. D6091 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(4)(iii) The laboratory director must ensure all proficiency testing reports received are reviewed by the appropriate staff to evaluate the laboratory's performance and to identify any problems that require

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Survey - November 6, 2019

Survey Type: Standard

Survey Event ID: 8M7F11

Deficiency Tags: D5211 D5481 D6094 D5417 D6070

Summary:

Summary Statement of Deficiencies D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(a) The laboratory must review and evaluate the results obtained on proficiency testing performed as specified in subpart H of this part. This STANDARD is not met as evidenced by: Based on review of 2018 and 2019 MLE (Medical Laboratory Evaluation) proficiency testing records and review of the laboratory's policies and procedures 11/6/19, the laboratory failed to document evaluation of all ungraded proficiency testing results. Review of 2018 and 2019 MLE proficiency testing records revealed: 1. 4 of 5 DTM (dermatophyte test medium) samples were ungraded on the 2018 M3 test event; 2. 2 of 5 DTM samples were ungraded on the 2019 M1 test event. There was no documentation available to indicate that the ungraded results were evaluated to determine whether they were acceptable or whether

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