Muscoda Health Center

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 52D0393122
Address 1075 N Wisconsin Ave, Muscoda, WI, 53573
City Muscoda
State WI
Zip Code53573
Phone(608) 739-3113

Citation History (1 survey)

Survey - June 4, 2024

Survey Type: Standard

Survey Event ID: F2FX11

Deficiency Tags: D6047 D6047

Summary:

Summary Statement of Deficiencies D6047 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b(8)(i) The procedures for evaluation of the competency of the staff must include, but are not limited to direct observations of routine patient test performance, including patient preparation, if applicable, specimen handling, processing and testing. This STANDARD is not met as evidenced by: Based on surveyor review of competency assessment records and interview with the technical consultant, the technical consultant did not document site specific direct observation of routine patient testing for nine of ten clinic testing personnel in 2022 and 2023. Findings include: 1. Review of competency assessment records showed no evidence of direct observation performed at this clinic site for testing personnel. 2. Interview with the technical consultant on June 4, 2024, at 10:30 AM confirmed the technical consultant did not document direct observation at this clinic site for routine testing of testing personnel. 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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