Henderson Health Care Services Inc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 28D0872236
Address 1621 Front Street, Henderson, NE, 68371
City Henderson
State NE
Zip Code68371
Phone(402) 723-4512

Citation History (2 surveys)

Survey - May 1, 2024

Survey Type: Standard

Survey Event ID: 9YAM11

Deficiency Tags: D5429 D5429

Summary:

Summary Statement of Deficiencies D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory must perform and document maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: Based on surveyor review of blood bank preventative maintenance logs and an interview with the laboratory supervisor, the laboratory failed to conduct and document the weekly dispenser cleaning according to the manufacturer's instructions during 1/1/2023 - 5/1/2024. Findings are: 1. Review of 2023 and 2024 blood bank preventative maintenance logs showed the laboratory did not perform or document the weekly dispenser cleaning for blood bank from 1/1/2023 - 5/1/2024. 2. Interview with the laboratory supervisor on 5/1/2024 at 11:39 AM confirmed the laboratory did not perform the weekly dispenser cleaning for blood bank from 1/1/2023 - 5/1/2024. 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 - May 15, 2018

Survey Type: Standard

Survey Event ID: NOZJ11

Deficiency Tags: D5551

Summary:

Summary Statement of Deficiencies D5551 IMMUNOHEMATOLOGY CFR(s): 493.1271(a)(f) (a) Patient testing. (a)(1) The laboratory must perform ABO grouping, D (Rho) typing, unexpected antibody detection, antibody identification, and compatibility testing by following the manufacturer's instructions, if provided, and as applicable, 21 CFR 606.151(a) through (e). (a)(2) The laboratory must determine ABO group by concurrently testing unknown red cells with, at a minimum, anti-A and anti-B grouping reagents. For confirmation of ABO group, the unknown serum must be tested with known A1 and B red cells. (a)(3) The laboratory must determine the D (Rho) type by testing unknown red cells with anti-D (anti-Rho) blood typing reagent. (f) Documentation. The laboratory must document all control procedures performed, as specified in this section. This STANDARD is not met as evidenced by: Based on review of patient worksheets for blood bank, quality control (QC) records and and interview with the general supervisor on 5/15/2018 at 11:40 AM, the laboratory failed to document daily QC recordings for 2 of 12 days of patient testing. Findings are: 1. Review of blood bank patient worksheets revealed patient testing occurred on 12 days between 1/22/2018 and 5/9/2018. 2. Review of blood bank QC records for this time period revealed QC recordings for only 10 of the 12 testing days. No documentation of QC could be presented at the time of survey for 4/21/2018 and 4 /30/2018. Worksheets indicated type and screens and crossmatches had been performed on both days. 3. During interview, the general supervisor stated the controls had been performed on these 2 days and the worksheets initialed, but the results had not been documented in the QC records. 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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