Summary:
Summary Statement of Deficiencies D6054 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 annually, after the first year. This STANDARD is not met as evidenced by: Based on review of the Laboratory Personnel Report (Form CMS-209), personnel records, and confirmed by clinic manager (not listed on CMS-209) at approximately 11:30 AM on 3/12/2021, the technical consultant failed to evaluate and document the competency of two out of nine testing personnel (laboratory personnel identifiers #3 and #4) performing moderate complexity testing at least annually in 2020. 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 --