| 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) |
| A0747 | INFECTION CONTROL CFR(s): 482.42 The hospital must provide a sanitary environment to avoid sources and transmission of infections and communicable diseases. There must be an active program for the prevention, control, and investigation of infections and communicable diseases. This CONDITION is not met as evidenced by: Based on observation, staff interview, review of product labels and manufacturer's directions for use, the facility failed to maintain a sanitary environment in the operating room; and failed to require staff to use acceptable practices for disinfecting equipment and environmental surfaces between patient procedures and surgeries. The facility further failed to develop and implement effective measures to address identified problems with unnecessary and unsanitary items in the operating room during surgery (A749). The cumulative effects of these deficient practices resulted in the determination that the facility failed to meet the Condition of Participation for Infection Control. |