Norton Community Medical Associates-Shepherdsville

CLIA Laboratory Citation Details

2
Total Citations
9
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 18D0320648
Address 115 Huston Drive, Shepherdsville, KY, 40165
City Shepherdsville
State KY
Zip Code40165
Phone502 955-7311
Lab DirectorLARRY RYLE

Citation History (2 surveys)

Survey - January 9, 2023

Survey Type: Standard

Survey Event ID: M1T711

Deficiency Tags: D0000 D5441 D0000 D5441

Summary:

Summary Statement of Deficiencies D0000 A recertification survey was conducted on 01/09/2023, and the facility was found not to be in substantial compliance with the laboratory requirements at 42 CFR, Part 493. D5441 CONTROL PROCEDURES CFR(s): 493.1256(a)(b)(c)(g) (a) For each test system, the laboratory is responsible for having control procedures that monitor the accuracy and precision of the complete analytic process. (b) The laboratory must establish the number, type, and frequency of testing control materials using, if applicable, the performance specifications verified or established by the laboratory as specified in 493.1253(b)(3). (c) The control procedures must-- (c)(1) Detect immediate errors that occur due to test system failure, adverse environmental conditions, and operator performance. (c)(2) Monitor over time the accuracy and precision of test performance that may be influenced by changes in test system performance and environmental conditions, and variance in operator performance. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on interview and review of the facility's policies, it was determined the facility failed to monitor the accuracy and precision of complete blood count (CBC) quality controls over time using Levey-Jennings charts. This had the potential to impact the accuracy of patient testing and affect all patients, as trends and shifts in instrument performance may have gone undetected. The findings include: Review of the facility's policy titled, "Controls "Out of Control"", dated 07/12/2017, revealed "CBC controls must fall within the designated limits as calculated for each analyte by the manufacturer. Any control that is greater than two (2) standard deviations (SD) from the mean is considered to be "Out of Control". When tri-level CBC controls are used, it is acceptable for two (2) out of three (3) controls to be in range, if the third control is within three (3) SD of the mean. Laboratory personnel will review Levy-Jennings 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 -- charts weekly to look for shifts and trends. If a control is consistently one (1) SD above or below the mean seven (7) days in a row, remedial action must be taken". The policy further revealed the Laboratory Director "reviews and signs off on the control results and Levy-Jennings charts monthly". Interview with the Technical Consultant (TC), on 01/09/2023 at 11:40 AM, revealed he was shown the "Controls "Out of Control"" policy and directed to the section which indicated that laboratory personnel were required to review Levey-Jennings charts weekly, and the Laboratory Director reviewed and signed off on the control results and Levey-Jennings charts monthly. The TC was asked to provide the Levey-Jennings charts and documentation of review by laboratory personnel and the Laboratory Director, and he could not produce these documents for review. He further revealed the procedure to evaluate CBC quality controls over time using the Levey-Jennings charts was not being performed. -- 2 of 2 --

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Survey - September 22, 2020

Survey Type: Complaint

Survey Event ID: PQWL11

Deficiency Tags: D5403 D5800 D5800 D5209 D5403

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Base on staff interview and record review on 09/22/2020, the laboratory director failed to train the clinic staff the procedure for correcting laboratory results entered into the laboratory information system from 8/4/2020 through 09/21/2020. Findings include: 1. Tech #1 performed a complete blood count (CBC) on 08/24/2020. The tech noted an error in the patient's results and could not correct the report in the laboratory information system. 2. Interview with the staff on 09/22/2020 at 10:25 AM revealed the laboratory training did not include correcting laboratory errors in the laboratory information system (LIS). D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 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 -- 493.1253. (7) Control procedures. (8)

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