Summary:
Summary Statement of Deficiencies D6046 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(8) (b) The technical consultant is responsible for-- (b)(8) Evaluating the competency of all testing personnel and assuring that the staff maintain their competency to perform test procedures and report test results promptly, accurately and proficiently. This STANDARD is not met as evidenced by: Based on review of laboratory personnel report (CMS-209), review of testing personal (TP) competency records, review of laboratory personnel records, and interview with laboratory manager (supervisor 1) 6/2/21, the technical consultant (laboratory director) failed to evaluate the competency of 2 of 2 TP in 2019 and 2020. Findings: Review of CMS-209 submitted at time of survey revealed the laboratory director (LD) serves as the technical consultant (TC) for the laboratory. Review of 2019 and 2020 TP competency records revealed the laboratory manager performed the competency assessments of TP #1 and TP #2. Review of personnel records revealed the laboratory manager has an associates degree in medical technology and does not meet technical consultant (TC) qualifications to perform TP competency assessments. Interview with laboratory manager at approximately 1:00 p.m. confirmed she performed the competency assessments of TP #1 and TP #2. She stated she has been performing TP competency assessments for over 10 years at all of their locations and she also stated they had been previously inspected by an accrediting agency but were never told that she could not perform them because she did not meet TC qualifications. 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 --