Urology Surgeons Pc

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 23D2036827
Address 1000 E Paris Se Suite 230, Grand Rapids, MI, 49546
City Grand Rapids
State MI
Zip Code49546
Phone(616) 949-4340

Citation History (1 survey)

Survey - May 2, 2022

Survey Type: Standard

Survey Event ID: 7APD11

Deficiency Tags: D5473 D5473

Summary:

Summary Statement of Deficiencies D5473 CONTROL PROCEDURES CFR(s): 493.1256(e)(2)(g) (e) For reagent, media, and supply checks, the laboratory must do the following: (e) (2) Each day of use (unless otherwise specified in this subpart), test staining materials for intended reactivity to ensure predictable staining characteristics. Control materials for both positive and negative reactivity must be included, as appropriate. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: . Based on record review and interview with the General Supervisor (GS), the laboratory failed to ensure predictable staining characteristics of Hematoxylin and Eosin staining for 1 (SAJ2022-165 on 1/25/22) of 1 bladder biopsy reviewed. Findings include: 1. A review of the laboratory's "Daily Assessment of Stain and Prep Quality" policy revealed a section stating, "The pathologist will dictate a description of the quality of the stain and prep into the microscopic section of each report". 2. A review of patient test records revealed Patient SAJ2022-165 had a bladder biopsy reported on 1/25/22 and did not have the description of the quality of staining on the test report. 3. An interview on 5/2/22 at 9:58 am with the GS confirmed the laboratory did not have documentation the stain quality was assessed for the patient listed above. 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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