Planned Parenthood Of Northern, Central

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 31D0111811
Address 1171 Elizabeth Avenue, Elizabeth, NJ, 07201
City Elizabeth
State NJ
Zip Code07201
Phone(833) 377-8474

Citation History (2 surveys)

Survey - March 26, 2024

Survey Type: Standard

Survey Event ID: PLBG11

Deficiency Tags: D5401 D5313 D5401

Summary:

Summary Statement of Deficiencies D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL CFR(s): 493.1242(b) The laboratory must document the date and time it receives a specimen. This STANDARD is not met as evidenced by: Based on surveyor review of the Electronic Wet Mount Report (EWMR) and interview with the Laboratory Manager (LM), the laboratory failed to record the collection time specimens were received from 1/1/24 to 3/26/24. The findings include: 1. A review of the EWMR revealed there were no collection times for specimens received for wet mount testing. 2. The LM confirmed on 3/26/24 at 11:40 am that the laboratory failed to ensure that specimen collections time were recorded. D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: Based on surveyor review of the Procedure Manual (PM), Wet Mount Test Records (WMTR) and interview with the Laboratory Manager (LM), laboratory personnel failed to follow the procedure for "Record Keeping" from 1/1/24 to 3/26/24. The findings include: 1. The PM states " The clinician or lab technician will record wet smear results as either negative or positive for each organism on the client's medical 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 -- record in the designated area." 2. Five out of Five WMTR had results documented as " + " and " - " and not written as either positive or negative. 3. The LM confirmed on 3 /26/24 at 11:00 am, laboratory personnel failed to follow the PM. -- 2 of 2 --

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Survey - December 21, 2021

Survey Type: Standard

Survey Event ID: B2D111

Deficiency Tags: D3031 D3031

Summary:

Summary Statement of Deficiencies D3031 RETENTION REQUIREMENTS CFR(s): 493.1105(a)(3) Analytic systems records. Retain quality control and patient test records (including instrument printouts, if applicable) and records documenting all analytic systems activities specified in 493.1252 through 493.1289 for at least 2 years. This STANDARD is not met as evidenced by: Based on the survey review of Quality Control (QC) records and interview with the Office Mansger (OM) the laboratory failed to retain the Manufactuers Pack Instert (MPI) for Negative Rhesus (Rh) factor control from January 2021 to the date of survey. The findings incude: 1. There was no MPI for negative Rh QC for the following lots: a. HMN687680 b. HMN674223 c. HMN626695 d. HMN593186 e. HMN626695 2. The OM confirmed on 12/21/20 at 2:00 pm that MPI's were not retained. 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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