Urgent Care Northwest

Summary Statement of Deficiencies D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(d) All proficiency testing evaluation and verification activities must be documented. This STANDARD is not met as evidenced by: Based on a review of the MLE (Medical Laboratory Evaluation) Proficiency Testing (PT) records and an interview with Testing Personnel #1, the laboratory failed to evaluate the results for a PT score less than 100%. This is noted for one of seven events from 2020 to 2022. The findings include: 1. A review of the MLE PT records revealed the following score: 2021 MLE - M1 event, the laboratory scored 50% for Urine Sediment Exam with no

Summary Statement of Deficiencies D5793 ANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1289(b)(c) (b) The analytic systems quality assessment must include a review of the effectiveness of