Mission Cardiac & Vascular Institute

CLIA Laboratory Citation Details

1
Total Citation
58
Total Deficiencyies
29
Unique D-Tags
CMS Certification Number 45D2141401
Address 479 Oxford, Suite 103, New Braunfels, TX, 78130
City New Braunfels
State TX
Zip Code78130
Phone(830) 214-0300

Citation History (1 survey)

Survey - June 13, 2019

Survey Type: Standard

Survey Event ID: WPMQ11

Deficiency Tags: D0000 D3031 D5217 D5291 D5391 D5400 D5421 D5433 D5441 D5447 D5791 D5807 D5891 D6000 D6013 D6020 D6021 D0000 D3031 D5217 D5291 D5391 D5400 D5421 D5433 D5441 D5447 D5791 D5807 D5891 D6000 D6013 D6020 D6021 D6026 D6029 D6033 D6035 D6035 D6040 D6042 D6045 D6063 D6066 D6070 D6072 D6026 D6029 D6033 D6040 D6042 D6045 D6063 D6065 D6065 D6066 D6070 D6072

Summary:

Summary Statement of Deficiencies D0000 The laboratory was found to be out of compliance based on the following CONDITION LEVEL DEFICIENCIES resulting in a finding of IMMEDIATE JEOPARDY: D5400 - 42 C.F.R. 493.1250 Condition: Analytic Systems D6000 - 42 C.F.R. 493.1403 Condition: Laboratory Director; moderate complexity D6033 - 42 C. F.R. 493.1409 Condition: Technical Consultant D6063 - 42 C.F.R. 493.1412 Condition: Testing Personnel; moderate complexity NOTE: The laboratory was asked to cease performing Activated Clotting Time testing utilizing the Abbott i-STAT analyzer. They agreed to cease testing. See the letter dated: Noted deficiencies and plans of correction were discussed with the laboratory representative at the exit conference. The facility representative was given an opportunity to provide evidence of compliance with noted deficiencies and no such evidence was provided prior to survey exit. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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