Prevea Health Arcadia

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 52D2006332
Address 945 S Detloff Dr, Arcadia, WI, 54612
City Arcadia
State WI
Zip Code54612
Phone(608) 392-5000

Citation History (1 survey)

Survey - April 4, 2019

Survey Type: Standard

Survey Event ID: PWXL11

Deficiency Tags: D6120 D6125

Summary:

Summary Statement of Deficiencies D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(7)(8) (7) The technical supervisor is responsible for identifying training needs and assuring that each individual performing tests receives regular in-service training and education appropriate for the type and complexity of the laboratory services performed; (8) Evaluating the competency of all testing personnel and assuring that the staff maintain their competency to perform test procedures and report test results promptly, accurately and proficiently. This STANDARD is not met as evidenced by: Based on surveyor review of the proficiency testing records, and interview with the technical supervisor, the technical supervisor failed to identify training needs for staff performing high complexity differential testing. Findings include: 1. Review of the laboratory hematology proficiency testing (PT) records from 2017 and 2018 showed that the laboratory received scores of 80% for cell identification on four out of six PT events. 2. Review of the hematology PT records from the four events with 80% cell identification scores showed that testing personnel A (TP A) performed the PT for all four events. 3. Review of the

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