St Joseph's Candler Urgent Care Centers

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 11D2064789
Address 107 Canal Street, Pooler, GA, 31322
City Pooler
State GA
Zip Code31322
Phone(912) 450-1945

Citation History (2 surveys)

Survey - March 23, 2021

Survey Type: Standard

Survey Event ID: 58P211

Deficiency Tags: D0000 D2000 D6015

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) Recertification survey was completed on March 23, 2021. The laboratory was not in compliance with applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. The following deficiencies were cited: D2000 ENROLLMENT AND TESTING OF SAMPLES CFR(s): 493.801 Each laboratory must enroll in a proficiency testing (PT) program that meets the criteria in subpart I of this part and is approved by HHS. The laboratory must enroll in an approved program or programs for each of the specialties and subspecialties for which it seeks certification. The laboratory must test the samples in the same manner as patients' specimens. For laboratories subject to 42 CFR part 493 published on March 14, 1990 (55 FR 9538) prior to September 1, 1992, the rules of this subpart are effective on September 1, 1992. For all other laboratories, the rules of this subpart are effective January 1, 1994. This CONDITION is not met as evidenced by: Based on review of the Medical Laboratory Evaluation (MLE), Proficiency Testing (PT) provider, the laboratory failed to enroll in PT for the first event in Hematology, and Chemistry for the year 2020. Findings: 1. Review of the MLE, PT documents for the year 2020, for the Specialty of Hematology and Chemistry, there was no documents for the First events of Chemistry and Hematology. 2. Interview with staff #1, and the Corporate Office Manager, on March 23, 2021 at approximately 4pm in the Manager's office, confirmed that they did not participate in the first event of 2020 for Hematology and Chemistry PT testing. It was also acknowledged that this was due to failure to renew the subscription of the 2020 PT testing with MLE. After this error was discovered, the PT material was ordered immediately. A score of 100 % for both second and third events for Hematology and Chemistry was received on the MLE evaluation report. 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 -- D6015 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(4) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(4) Ensure that the laboratory is enrolled in an HHS approved proficiency testing program for the testing performed. This STANDARD is not met as evidenced by: Based on review of the Medical Laboratory Evaluation (MLE) Proficiency Testing (PT) the year 2020, for the Speciality of Hematology and Chemistry, the Laboratory Director failed to ensure that the laboratory was enrolled in a HHS approved proficiency testing program for the testing performed. Findings: 1. Review of the MLE, PT documents for the year 2020, for the Specialties of Hematology and Chemistry, there was no documents for the First events of Chemistry and Hematology. 2. Interview with staff #1, and the Corporate Office Manager, on March 23, 2021 at approximately 4pm in the Manager's office, confirmed that they did not participate in the first event of 2020 for Hematology and Chemistry PT testing. It was also acknowledged that this was due to not renewing the subscription for the 2020 PT testing with MLE. After this error was discovered, the PT material was ordered immediately. A score of 100 % for both second and third events for Hematology and Chemistry was received on the MLE evaluation report. -- 2 of 2 --

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Survey - January 30, 2019

Survey Type: Standard

Survey Event ID: 0B2C11

Deficiency Tags: D0000 D6046

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) recertification survey was completed on January 30, 2019. The laboratory was not in compliance with applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. The following deficiency was cited: D6046 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(8) (b) The technical consultant is responsible for-- (b)(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 review of 2018 personnel competency assessment records and staff interview , the laboratory director/technical consultant failed to include the six required competency assessment criteria when evaluating competency on testing personnel for testing performed on the Medonic M Series Hematology analyzer . The findings include: 1. Review of testing personnel competency assessment records for 2018 on 9 of 9 testing personnel revealed the assessment did not include the six competency assessment criteria required by CLIA. 2. Interview with the office administrator and testing personnel # 9 (see CMS 209) in the administrator's office on January 30, 2019 at approximately 1:00 PM confirmed 2018 annual competency assessments did not contain the six criteria required by CLIA. 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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