Mountain View Hospital Pathology

CLIA Laboratory Citation Details

1
Total Citation
5
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 13D2121595
Address 2325 Coronado St, Idaho Falls, ID, 83404
City Idaho Falls
State ID
Zip Code83404
Phone(208) 557-2700

Citation History (1 survey)

Survey - December 1, 2020

Survey Type: Standard

Survey Event ID: JH1N11

Deficiency Tags: D5291 D5415 D5429 D5781 D6120

Summary:

Summary Statement of Deficiencies D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1239(a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess, and, when indicated, correct problems identified in the general laboratory systems requirements specified at 493.1231 through 493.1236. This STANDARD is not met as evidenced by: Based on lack of Quality Assessment (QA) documentation and interview with testing personnel 1, the laboratory failed to establish written policies and procedures to ensure the quality of the laboratory services provided. The findings include: 1. QA policies and procedures for the general lab system (GLS) were not presented for review during the survey, including but not limited to, policies and procedures specific to biannual verification testing, personnel competency, instrument maintenance and

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