Hattiesburg West Tc Llc

CLIA Laboratory Citation Details

1
Total Citation
4
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 25D2162868
Address 6176 Us Hwy 98, Hattiesburg, MS, 39402-8530
City Hattiesburg
State MS
Zip Code39402-8530
Phone601 475-0444
Lab DirectorKATHY CHAVEZ

Citation History (1 survey)

Survey - June 11, 2021

Survey Type: Standard

Survey Event ID: XW0711

Deficiency Tags: D6053 D5209 D5403 D6054

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 review of the Centers for Medicare and Medicaid Services (CMS) 209 personnel form, the laboratory's Quality Systems Manual, and personnel records since the last survey on 9/4/19, the laboratory failed to establish and follow written policies and procedures to assess consultant competency. Findings include: Review of the laboratory's Quality Systems Manual revealed no written policies and procedures to assess consultant competency. Review of the personnel records since the last survey on 9/4/19 revealed no documentation of assessment of technical consultant competency since the last survey on 9/4/19. Refer to D6053 (Technical consultant failure to perform semiannual evaluations of testing personnel). Refer to D6054 (Technical consultant failure to perform annual evaluations of testing personnel). D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 3 -- The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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