| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530025 | (X3) Date Survey Completed 08/26/2015 |
| 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 | Ivinson Memorial Hospital was surveyed by Healthcare Licensing and Surveys, on August 24, 2015 to August 25, 2015. This survey was conducted as a Patient Safety Initiative Survey using the Quality Assessment and Performance Improvement, Infection Control, and Discharge Planning Surveyor Worksheets. |