West Gray Properties Llc Dba Bellaire Er

CLIA Laboratory Citation Details

2
Total Citations
26
Total Deficiencyies
12
Unique D-Tags
CMS Certification Number 45D2043149
Address 5302 Bellaire Blvd, Bellaire, TX, 77401
City Bellaire
State TX
Zip Code77401
Phone(713) 660-0001

Citation History (2 surveys)

Survey - August 30, 2021

Survey Type: Standard

Survey Event ID: V47B11

Deficiency Tags: D0000 D2009 D5209 D0000 D2009 D5209

Summary:

Summary Statement of Deficiencies D0000 Noted deficiencies and plans of correction were discussed with the laboratory representative(s) at the exit conference. The facility representative(s) were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be in compliance with applicable Conditions of Participation in the CLIA program, and recertification is recommended. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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Survey - June 17, 2019

Survey Type: Standard

Survey Event ID: I7LV11

Deficiency Tags: D0000 D0000 D5213 D5213 D5411 D5411 D5413 D5441 D5785 D5791 D6007 D6018 D6020 D5413 D5441 D5785 D5791 D6007 D6018 D6020

Summary:

Summary Statement of Deficiencies D0000 Noted deficiencies and plans of correction were discussed with the laboratory representative(s) at the exit conference. The facility representative(s) were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be in compliance with applicable Conditions of Participation in the CLIA program, and recertification is recommended. D5213 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(b)(1) The laboratory must verify the accuracy of any analyte or subspecialty without analytes listed in subpart I of this part that is not evaluated or scored by a CMS- approved proficiency testing program. This STANDARD is not met as evidenced by: Based on proficiency testing records for 2018 and 2019 and staff interview, it was revealed the laboratory failed to have documentation of performing a self-evaluation for 2 of 2 samples that were not graded by American Proficiency Institute. Findings include: 1. Review of the 2018 Chemistry- Miscellaneous- 1st event proficiency testing performance evaluation (signed by the laboratory director on 6/7/18) revealed the laboratory received a grade of 'Not Graded' for Urine drug screen Opiates sample UDS-02. 2. Review of the 2019 Chemistry- Miscellaneous- 1st event proficiency testing performance evaluation (signed by the laboratory director on 5/31/19) revealed the laboratory received a grade of 'Not Graded' for Urine drug screen Opiates sample UDS-01. 3. The American Proficiency Institute proficiency testing performance evaluation form states, "Laboratories are responsible for documenting and performing

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