Group M Dermatology Pa D/B/A

CLIA Laboratory Citation Details

3
Total Citations
6
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 10D0992170
Address 2101 Us Hwy 1, Jupiter, FL, 33477
City Jupiter
State FL
Zip Code33477
Phone(561) 748-0510

Citation History (3 surveys)

Survey - April 18, 2024

Survey Type: Standard

Survey Event ID: 78ZN11

Deficiency Tags: D5217 D0000

Summary:

Summary Statement of Deficiencies D0000 A recertification survey was conducted on April 18, 2024. Group M Dermatology PA dba Jupiter Dermatology & Hair Restoration clinical laboratory was not in compliance with 42 CFR 493, requirements for clinical laboratories. D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of patient accession logs, peer review records, and the Laboratory Personnel Report; and interview, the laboratory failed to document the verification of accuracy for Potassium Hydroxide (KOH) and Scabies at least twice annually for 2022 and 2023. Findings: Review of the patient accession log for KOH and Scabies revealed the laboratory had tested 66 patients in 2022 and 131 patients in 2023 for KOH and Scabies. Review of peer review records revealed there were no records or peer review done for KOH and Scabies. Review of the Laboratory Personnel Report, signed by the Laboratory Director on 04/18/2024, listed two Testing Personnel (A, B) who performed testing for KOH and Scabies. On 04/18/2024 at 11:30 AM, the Laboratory Director stated he (Testing Personnel A) and Testing Personnel B reviewed each others cases but failed to document it. 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 - October 16, 2019

Survey Type: Standard

Survey Event ID: 43Y011

Deficiency Tags: D0000 D6054

Summary:

Summary Statement of Deficiencies D0000 An announced recertification survey was conducted on 10/16/19 at Group M Dermatology Pa dba Jupiter Dermatology & Hair Restoration, a clinical laboratory in Jupiter, Florida. Group M Dermatology Pa dba Jupiter Dermatology & Hair Restoration is not in compliance with Code of Federal Regulations (CFR) 42, Part 493, Laboratory Requirements. D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on record review and interview with laboratory personnel, the technical consultant did not document performance evaluations for two of three testing personnel. The findings included: Review of personnel records for the past two years revealed that there were quarterly competency evaluations for the histotechnician, but not for the two physician's assistants that performed potassium hydroxide (KOH) preps. During an interview with the Office Manager on 10/16/19 at 10:40 a.m., she confirmed they had not been documenting evaluations of the physician's assistants. 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 - January 12, 2018

Survey Type: Standard

Survey Event ID: GNSO12

Deficiency Tags: D5417 D5429

Summary:

Summary Statement of Deficiencies No Tags No deficiency details available. 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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