Piedmont Plastic Surgery & Dermatology - Gastonia

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 34D0994130
Address 959 Cox Road, Gastonia, NC, 28054
City Gastonia
State NC
Zip Code28054
Phone(704) 866-7576

Citation History (2 surveys)

Survey - March 22, 2022

Survey Type: Standard

Survey Event ID: Y1UT11

Deficiency Tags: D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of the laboratory's procedures, review of 2019, 2020, and 2021 laboratory records, the absence of records, and interview with the laboratory manager 3/22/22, the laboratory failed to verify accuracy of Mohs testing at least twice a year in 2021. Findings: The laboratory policy, "Biannual Proficiency Testing" states, "Scope/Purpose...The quality assurance program for verifying the accuracy and reliability of the testing results in the Mohs laboratory. Four cases will be randomly selected twice a year for review..." Review of proficiency testing records revealed the verification of accuracy was completed in 2019 and 2020 but there was no documentation that the laboratory had verified accuracy of Mohs testing performed by the two Mohs surgeons in 2021. At approximately 3 p.m, the laboratory manager confirmed the proficiency testing had not been completed in 2021. Deficiency previously cited 7/26/19. 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 - July 26, 2019

Survey Type: Standard

Survey Event ID: FXXV11

Deficiency Tags: D5217 D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of laboratory policies, review of 2017, 2018 and 2019 proficiency testing (PT) records and laboratory manager interview 7/26/19, the laboratory failed to verify the accuracy of Mohs testing at least twice a year. Review of laboratory policy, "Biannual Proficiency Testing" revealed "Scope/Purpose..The quality assurance program for verifying the accuracy and reliability of the testing results in the Mohs laboratory. Four cases will be randomly selected twice a year for review." Review of PT records for 2017, 2018 and 2019 revealed the laboratory failed to perform biannual proficiency testing to verify the accuracy of Mohs testing in 2018. Interview with laboratory manager at approximately 12:00 p.m. confirmed the laboratory failed to verify the accuracy of Moths testing at least twice a 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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