Hmg Sapling Grove Urgent Care

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 44D1036074
Address 350 Steeles Road, Unit 1, Bristol, TN, 37620
City Bristol
State TN
Zip Code37620
Phone423 990-2466
Lab DirectorJONATHAN BLANKENSHIP

Citation History (1 survey)

Survey - August 25, 2022

Survey Type: Standard

Survey Event ID: JFJY11

Deficiency Tags: D5311

Summary:

Summary Statement of Deficiencies D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL CFR(s): 493.1242(a) The laboratory must establish and follow written policies and procedures for each of the following, if applicable: (1) Patient preparation. (2) Specimen collection. (3) Specimen labeling, including patient name or unique patient identifier and, when appropriate, specimen source. (4) Specimen storage and preservation. (5) Conditions for specimen transportation. (6) Specimen processing. (7) Specimen acceptability and rejection. (8) Specimen referral. This STANDARD is not met as evidenced by: ================================== Based on review of the laboratory's" Microbiology and Other Specimen Collection" policy, observation of the laboratory and interview with Testing Person #2, determined the laboratory failed to label Respiratory Tract specimens according to their policy. Findings include: 1. Laboratory's "Microbiology and Other Specimen Collection" policy states, "iii. Label wrapper with patient name and MRN or DOB." 2. Observation of respiratory tract specimens in the laboratory on August 25, 2022 at approximately 9:10 A.M. revealed specimens did not have MRN or DOB on wrapper. 3. Interview with Testing Person #2 in the laboratory on August 25, 2022 at approximately 9:10 A.M. confirmed the above findings. =================================== 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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