| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530015 | (X3) Date Survey Completed 07/13/2017 |
| Name of Provider or Supplier St Johns Medical Center | Street Address, City, State 625 East Broadway, Jackson, WY | |
| 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
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| A0000 | A complaint survey was conducted by Healthcare Licensing and Surveys on 7/13/17. The survey was prompted by complaint intake WY00002425. One standard level deficiency was cited. |