Hospital Service District Of The Parish Of St Mary

CLIA Laboratory Citation Details

1
Total Citation
125
Total Deficiencyies
64
Unique D-Tags
CMS Certification Number 19D0461250
Address 1097 Northwest Boulevard, Franklin, LA
City Franklin
State LA
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Citation History (1 survey)

Survey - February 12, 2018

Survey Type: Complaint

Survey Event ID: LFGQ12

Deficiency Tags: D0000 D1001 D5203 D5205 D5311 D5209 D5300 D5305 D5311 D5317 D5391 D5400 D5401 D5403 D5411 D5413 D5417 D5421 D5465 D5469 D5481 D5449 D5205 D5207 D5209 D5300 D5305 D5207 D5317 D5391 D5400 D5401 D5403 D5411 D5413 D5417 D5421 D5423 D5433 D5447 D5449 D5423 D5433 D5447 D5537 D5545 D5465 D5469 D5481 D5537 D5545 D5559 D6014 D5559 D5601 D5791 D5805 D6000 D6013 D5601 D5791 D5805 D6000 D6013 D6014 D6032 D6033 D6036 D6040 D6042 D6045 D6046 D6063 D6064 D6065 D6076 D6086 D6087 D6094 D6102 D6106 D6107 D6108 D6112 D6141 D6143 D6168 D6170 D6171 D6112 D6141 D6143 D6170 D6020 D6021 D6028 D6029 D6030 D6031 D6020 D6021 D6028 D6029 D6030 D6031 D6032 D6033 D6036 D6040 D6042 D6045 D6046 D6063 D6064 D6065 D6076 D6086 D6087 D6094 D6102 D6106 D6107 D6108 D6168 D6171

Summary:

Summary Statement of Deficiencies D0000 A REVISIT SURVEY was performed at Franklin Foundation Hospital - CLIA # 19D0461250 on February 8, 2018 through February 12, 2018. Franklin Foundation Hospital was found not in compliance with the following CONDITION LEVEL DEFICIENCIES: 42 CFR 493.1240 CONDITION: Preanalytic Systems. 42 CFR 493.1250 CONDITION: Analytic Systems. 42 CFR 493.1403 CONDITION: Laboratory Director performing moderate complexity testing. 42 CFR 493.1441 CONDITION: Laboratory Director performing high complexity testing. 42 CFR 493.1409 CONDITION: Technical Consultant performing moderate complexity testing. 42 CFR 493.1447 CONDITION: Technical Supervisor performing high complexity testing. 42 CFR 493.1487 CONDITION: Testing Personnel performing high complexity testing. A COMPLAINT SURVEY was performed at Franklin Foundation Hospital - CLIA # 19D0461250 on October 9, 2017 through October 13, 2017. Franklin Foundation Hospital was found not in compliance with the following CONDITION LEVEL DEFICIENCIES which constitute an IMMEDIATE JEOPARDY to the patients serviced by the laboratory: 42 CFR 493.1240 CONDITION: Preanalytic Systems. 42 CFR 493.1250 CONDITION: Analytic Systems. 42 CFR 493.1403 CONDITION: Laboratory Director performing moderate complexity testing. 42 CFR 493.1441 CONDITION: Laboratory Director performing high complexity testing. 42 CFR 493.1409 CONDITION: Technical Consultant performing moderate complexity testing. 42 CFR 493.1447 CONDITION: Technical Supervisor performing high complexity testing. 42 CFR 493.1459 CONDITION: General Supervisor performing high complexity testing. 42 CFR 493.1487 CONDITION: Testing Personnel performing high complexity testing. 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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