Novant Health Surry Medical Associates

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 34D0982204
Address 865 Westlake Drive, Mt Airy, NC, 27030
City Mt Airy
State NC
Zip Code27030
Phone(336) 719-6100

Citation History (2 surveys)

Survey - June 28, 2021

Survey Type: Standard

Survey Event ID: I3QA11

Deficiency Tags: D6053 D6053

Summary:

Summary Statement of Deficiencies D6053 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least semiannually during the first year the individual tests patient specimens. This STANDARD is not met as evidenced by: Based on review of personnel records and interview with the TC (technical consultant) 6/28/21, the TC failed to perform and document the semiannual competency for 1 of 3 testing personnel (TP #3) as required during the first year of testing patients. Review of personnel records revealed TP #3 was trained in July 2020. TP #3's only competency evaluation was documented in June 2021, approximately 11 months later. During interview at approximately 10:55 a.m., the TC confirmed that TP #3's only competency evaluation was performed in June 2021. She stated the lab had a change in technical consultants and the competency evaluation was not performed when it should have been. 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 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - November 6, 2018

Survey Type: Standard

Survey Event ID: LIBJ11

Deficiency Tags: D0000 D0000

Summary:

Summary Statement of Deficiencies D0000 The Novant Health Surry Medical Associates laboratory was found in compliance with 42 CFR Part 493 Requirements for Laboratories as a result of an on-site survey performed on November 6, 2018. 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 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access