| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01D0027451 | (X3) Date Survey Completed 10/08/2025 |
| Name of Provider or Supplier Grove Hill Memorial Hospital | Street Address, City, State 295 S Jackson St, Grove Hill, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies |
| D2087 | ROUTINE CHEMISTRY CFR(s): 493.841(a) (a) Failure to attain a score of at least 80 percent of acceptable responses for each analyte in each testing event is unsatisfactory analyte performance for the testing event. This STANDARD is not met as evidenced by: Based on review of the American Proficiency Institute (API) Proficiency Testing (PT) records and an interview with the Chief Operating Officer and the General Supervisor (GS), the laboratory received failing scores for the regulated analytes Sodium (Na) and Creatine Kinase (CK) on two out of six 2024 Chemistry PT events. The findings include: 1. A review of the API PT records revealed the laboratory received unsatisfactory scores for the following analytes. a) 2024 Chemistry Core 1st Event, Sodium was 20% b) 2024 Chemistry Miscellaneous 3rd Event, Creatine Kinase was 20% 2. The Chief Operating Officer and the GS confirmed the above findings during Day 2 exit conference on 10-08-2025 at 4:28 PM |