Spanish Fork Clinic Inc

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 46D0691228
Address 336 W 100 S, Spanish Fork, UT, 84660
City Spanish Fork
State UT
Zip Code84660
Phone801 798-7301
Lab DirectorROMAN MD

Citation History (2 surveys)

Survey - March 26, 2024

Survey Type: Standard

Survey Event ID: VVIP11

Deficiency Tags: D6052 D6052

Summary:

Summary Statement of Deficiencies D6052 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(8)(vi) The procedures for evaluation of the competency of the staff must include, but are not limited to assessment of problem solving skills. This STANDARD is not met as evidenced by: Based on testing personnel (TP) competency record review and interview with staff, the laboratory failed to include assessment of problem solving skills for performing hematology testing on the Sysmex instrument for 8 out of 8 testing personnel since the last survey 1/28/2021. The laboratory performs approximately 74,750 hematology tests per year. Findings include: 1. Record review of testing personnel competencies revealed lack of assessment of problem solving skills for performing hematology testing on Sysmex instrument for 8 out of 8 testing personnel. 2. Interview with TP1 on 3/26/2024 at 11:20 A.M. confirmed testing personnel competency records lacked assessment of problem solving skills for performing hematology testing on Sysmex instrument. 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 - October 30, 2018

Survey Type: Standard

Survey Event ID: RUIU11

Deficiency Tags: D5785 D5785

Summary:

Summary Statement of Deficiencies D5785

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