Northern Light Blue Hill Memorial Hospital

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 20D0089847
Address 57 Water Street, Blue Hill, ME, 04614
City Blue Hill
State ME
Zip Code04614
Phone(207) 374-3400

Citation History (2 surveys)

Survey - March 7, 2024

Survey Type: Standard

Survey Event ID: GL5Q11

Deficiency Tags: D6046

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 record review and staff interview, the Technical Consultant (TC) failed to evaluate the competency of all Testing Personnel (TP) to perform moderate complexity testing. Findings include: 1. Record review on 3/6/2024 of the laboratory's 2024 TP competency records revealed 6 of 6 moderate complexity TP did not have complete competency performed by the TC. 2. Staff interview with the TC on 3/6 /2024 at 10: PM confirmed the above findings. 3. The laboratory performs approximately 121,632 Moderate Complexity test per year. 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 24, 2018

Survey Type: Standard

Survey Event ID: 4QX512

Deficiency Tags: D6177 D5431 D6177 D0000

Summary:

Summary Statement of Deficiencies D0000 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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