Naaman Clinic Llc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 01D2110836
Address 6234 Tattersall Blvd, Birmingham, AL, 35242
City Birmingham
State AL
Zip Code35242
Phone205 453-4195
Lab DirectorLYNN COOPER

Citation History (2 surveys)

Survey - December 4, 2024

Survey Type: Standard

Survey Event ID: AYJL11

Deficiency Tags: D5429

Summary:

Summary Statement of Deficiencies D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory must perform and document maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: Based on a review of the Tissue Tek VIP (Vacuum Infiltration Processor) maintenance records, Tissue Tek Stainer maintenance records, policy and procedures, and an interview with Histotech #1, the Laboratory failed to document daily, weekly, monthly, and bi-monthly maintenance on the Tissue Tek VIP and daily maintenance on the Tissue Tek Stainer as per the policy and procedures. This was noted from the date of the previous survey (11/9/2022) to the date of the current survey (12/4/2024). The findings include: 1. A review of the Tissue Tek VIP and Tissue Tek Stainer maintenance records revealed no evidence of documentation since the previous survey (11/9/2024) to the current survey (12/4/2024) for the following: A. Tissue Tek VIP: Daily, Weekly, Monthly, and Bi-monthly maintenance. B. Tissue Tek Stainer: Daily maintenance. 2. A further review of the Tissue Tek VIP maintenance policy and procedure revealed the following maintenance to be performed and documented: A. "Daily: Normal Cleaning Cycle." B. "Weekly: Cleaning water changed." C. "Monthly: Reagents rotated and changed. Flush and Fume changed." D. "Bi-Monthly: Cleaning xylene and 100% changed." 3. A review of the Tissue Tek Stainer maintenance policy and procedure revealed the following maintenance to be performed and documented: A. "Daily (of use): Acid Wash and Bluing changed." 4. During an interview on December 4, 2024, at 11:30 AM, Histotech #1 said the maintenance was performed but she forgets to document. 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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Survey - January 12, 2021

Survey Type: Standard

Survey Event ID: MM7T11

Deficiency Tags: D5413 D6120

Summary:

Summary Statement of Deficiencies D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on a review of the Tissue-Tek TEC 5 Tissue Embedding Console System Operator's Manual, temperature records, and an interview with the Testing Personnel, the laboratory failed to monitor and document room temperature and humidity for the room in which the Embedding Console System is located for more than two and a half years since the previous survey on 5/15/2018. The findings include: 1. A review of Tissue-Tek TEC 5 Tissue Embedding Console System Operator's Manual stated on page 1.3 "Ambient Operating Temperature and Relative Humidity Range: Embedding Module 10 - 40 degrees Celsius 30% - 85% RH (noncondensing), Cryo Module 10 - 40 degrees Celsius 30% - 85% RH (noncondensing)". 2. A review of the temperature records (May 2018 to January 2021) revealed that the laboratory was documenting the room temperature and humidity in the room that housed the Processor and Stainer, but the Embedding Console System was located in a separate room where temperature and humidity was not documented. 3. During an interview conducted on 01/12/2021 at 1:15 PM, the Testing Personnel confirmed the above noted findings. . D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(7)(8) Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- (7) The technical supervisor is responsible for identifying training needs and assuring that each individual performing tests receives regular in-service training and education appropriate for the type and complexity of the laboratory services performed; (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 a review of the personnel records and interviews with the Testing Personnel and Practice Manager, the Technical Supervisor (who also serves as the Laboratory Director) failed to ensure initial training and competency evaluations were performed by qualified personnel. This was noted on one of one testing personnel records reviewed by the surveyor. The finding include: 1. A review of the personnel records revealed that Testing Personnel #1 was employed in May 2019, however there was no documentation of initial training. 2. A review of the personnel records revealed that Testing Personnel #1 had a six-month evaluation performed on 11/01/2019, and annual evaluations performed on 05/06/2020 and 09/10/2020. These evaluations were performed and signed by the Practice Manager. 3. During an interview conducted on 01/12/2021 at 11:15 AM, Testing Personnel #1 provided a training guide used for her initial training, however the previous employee had failed to document the training. 4. During an interview conducted on 01/12/2021 at 11:25 AM, the Practice Manager confirmed he had performed the competency evaluations for the Testing Personnel; the Practice Manager further confirmed did not have laboratory experience in the specialty of Histopathology, and did not have a degree in a Chemical, Physical or Biological Science. SURVEYOR ID #32258 Licensure and Certification Surveyor -- 2 of 2 --

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