Summary:
Summary Statement of Deficiencies D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(a) The laboratory must review and evaluate the results obtained on proficiency testing performed as specified in subpart H of this part. This STANDARD is not met as evidenced by: Based on surveyor review of the laboratory's Proficiency Testing (PT) reports and interview with the office manager, the laboratory failed to evaluate, perform and document remedial action for the PT scores less than 100% for the following analyte in 2018: FINDINGS: 1. On 11/13/2018 at 11:00 AM the office manager confirmed the surveyor's review of the PT reports finding that the laboratory participated in the College of American Pathologists (CAP) PT program to verify twice annually the accuracy of the urine colony count testing. 2. The office manager confirmed that the laboratory failed to document