Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

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)
A0431 MEDICAL RECORD SERVICES
CFR(s): 482.24

The hospital must have a medical record service that has administrative responsibility for medical records. A medical record must be maintained for every individual evaluated or treated in the hospital.


This CONDITION is not met as evidenced by:
Based on observation and staff interview, it was determined the facility failed to protect medical records from unauthorized access in medical record storage areas (A441). This system failure resulted in the inability of the hospital to meet the necessary requirements for the Medical Record Services Condition of Participation.