| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530033 | (X3) Date Survey Completed 10/23/2013 |
| Name of Provider or Supplier Mountain View Regional Hospital | Street Address, City, State 6550 East 2nd Street, Casper, 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 | The following common abbreviations are used throughout this document: DON: Director of Nursing PRN: as needed MAR: Medication Administration Record Less commonly used abbreviations will be annotated in each deficiency where used. |