| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530025 | (X3) Date Survey Completed 08/21/2012 |
| Name of Provider or Supplier Ivinson Memorial Hospital | Street Address, City, State 255 N 30th, Laramie, 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 | This complaint survey was conducted using the Discharge Planning Worksheet. Pilot Surveyor Worksheets are part of the Patient Safety Initiative. Any findings cited below were identified using the new survey tool(s) and cited only at the standard level in this pilot survey. We expect that hospitals will use the findings to evaluate the areas of non-compliance and implement necessary changes to assure compliance. |