| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01D0027697 | (X3) Date Survey Completed 02/27/2023 |
| Name of Provider or Supplier Auburn University Medical Clinic Laboratory | Street Address, City, State 400 Lem Morrison Drive, Auburn, 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 |
| D6054 | TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on a review of the personnel records and an interview with Testing Personnel #4, the Technical Consultant failed to ensure all testing personnel had documentation of annual competency assessments. The surveyor noted no documentation of the 2021 and 2022 annual competency assessment for three of seven testing personnel listed on the CMS-209 (Laboratory Personnel Report). The findings include: 1. A review of the personnel records revealed the following: a) Testing Personnel #3 had an annual competency evaluations performed on 6/16/2021, however there was no documentation of the 2022 annual competency assessment. b) Testing Personnel #6 and #7 had no documentation of annual competency for 2021 and 2022. 2. During an interview on February 27th, 2023, at 11:02 AM, Testing Personnel #4 confirmed the above findings. |