Roper St Francis Physician Network

CLIA Laboratory Citation Details

1
Total Citation
4
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 42D0251274
Address 306 Station 22 1/2 Street, Sullivans Island, SC, 29482
City Sullivans Island
State SC
Zip Code29482
Phone843 883-3176
Lab DirectorGEORGE JR

Citation History (1 survey)

Survey - April 17, 2019

Survey Type: Standard

Survey Event ID: ZQ3J11

Deficiency Tags: D6054 D5211 D5777 D5413

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: During an onsite recertification survey on 04/17/2019, based on American Academy of Family Practitioners (AAFP) proficiency testing record review, and testing personnel interview, the laboratory failed to review and evaluate proficiency testing results for 1 of 6 proficiency testing events reviewed from 2017 through 2019 (2017, Event C). Findings include: 1. Review of AAFP proficiency testing results revealed the following scores: a. 2017, Event C; 50% for vaginal wet prep identification There was no documentation of director review and evaluation or

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access