Greystone Internal Medicine

CLIA Laboratory Citation Details

3
Total Citations
12
Total Deficiencyies
10
Unique D-Tags
CMS Certification Number 01D0962638
Address 101 Missionary Ridge Suite 200, Birmingham, AL, 35242
City Birmingham
State AL
Zip Code35242
Phone(205) 971-1600

Citation History (3 surveys)

Survey - May 19, 2022

Survey Type: Standard

Survey Event ID: OI3K11

Deficiency Tags: D5221 D5429 D5437 D5447 D5791 D6054

Summary:

Summary Statement of Deficiencies 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 a review of API (American Proficiency Institute) Proficiency Testing (PT) records, the laboratory's Protocol for Proficiency Testing, and an interview with the Technical Consultant (TC), the laboratory failed to document

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Survey - September 22, 2021

Survey Type: Special

Survey Event ID: S0YT11

Deficiency Tags: D2016 D2122

Summary:

Summary Statement of Deficiencies D2016 SUCCESSFUL PARTICIPATION CFR(s): 493.803(a)(b)(c) (a) Each laboratory performing nonwaived testing must successfully participate in a proficiency testing program approved by CMS, if applicable, as described in subpart I of this part for each specialty, subspecialty, and analyte or test in which the laboratory is certified under CLIA. (b) Except as specified in paragraph (c) of this section, if a laboratory fails to participate successfully in proficiency testing for a given specialty, subspecialty, analyte or test, as defined in this section, or fails to take remedial action when an individual fails gynecologic cytology, CMS imposes sanctions, as specified in subpart R of this part. (c) If a laboratory fails to perform successfully in a CMS- approved proficiency testing program, for the initial unsuccessful performance, CMS may direct the laboratory to undertake training of its personnel or to obtain technical assistance, or both, rather than imposing alternative or principle sanctions except when one or more of the following conditions exists: (1) There is immediate jeopardy to patient health and safety. (2) The laboratory fails to provide CMS or a CMS agent with satisfactory evidence that it has taken steps to correct the problem identified by the unsuccessful proficiency testing performance. (3) The laboratory has a poor compliance history. This CONDITION is not met as evidenced by: Based on a review of the CMS (Centers for Medicare and Medicaid Services) Casper reports and a review of the API (American Proficiency Institute) proficiency testing evaluations, the surveyor determined the laboratory failed to successfully participate in Hematology testing for two consecutive testing events, Events #1 and #2, 2021. These failures resulted in an initial unsuccessful proficiency testing failure. The findings include: 1. A review of the Casper reports revealed the laboratory scored 72 % (percent) for Hematology [73 % for the White Blood Cell Differential; and 40 % for the Platelets], for Event #1, 2021. For Event #2, 2021, the laboratory scored 0 % for Hematology [all analytes], due to its "Failure to Participate." 2. A review of the 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 -- API proficiency testing evaluations confirmed the above noted finds. 3. The surveyor attempted to contact the laboratory via telephone several times on 9/21/2021 and 9/22 /2021. However the contact attempts were not successful to consult with a testing personnel. D2122 HEMATOLOGY CFR(s): 493.851(b) Failure to attain an overall testing event score of at least 80 percent is unsatisfactory performance. This STANDARD is not met as evidenced by: . Based on a review of the CMS (Centers for Medicare and Medicaid Services) Casper reports and a review of the API (American Proficiency Institute) proficiency testing evaluations, the surveyor determined the laboratory failed to satisfactorily perform in Hematology testing for two consecutive testing events, Events #1 and #2, 2021. These failures resulted in an initial unsuccessful proficiency testing failure. The findings include: 1. A review of the Casper reports revealed the laboratory scored 72 % (percent) for Hematology [73 % for the White Blood Cell Differential; and 40 % for the Platelets], for Event #1, 2021. For Event #2, 2021, the laboratory scored 0 % for Hematology [all analytes], due to its "Failure to Participate." 2. A review of the API proficiency testing evaluations confirmed the above noted finds. 3. The surveyor attempted to contact the laboratory via telephone several times on 9/21/2021 and 9/22 /2021. However the contact attempts were not successful to consult with a testing personnel. -- 2 of 2 --

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Survey - November 21, 2019

Survey Type: Standard

Survey Event ID: OLN911

Deficiency Tags: D5221 D5791 D6033 D6034

Summary:

Summary Statement of Deficiencies 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 a review of API (American Proficiency Institiute) proficiency testing records and an interview with the Director of Operations, the surveyor determined the laboratory staff failed to ensure results were obtained from API for Hematology Event #2, 2017. The laboratory failed to ensure the results were reviewed and evaluated, and

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