| 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) |
| A0385 | NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This CONDITION is not met as evidenced by: Based on staff interview, review of medical records, and review of the nursing facility death records, it was determined the hospital failed to ensure all nursing requirements were met. There lacked evidence nursing staff provided the necessary assessment, monitoring, and nursing measures to ensure adequate bowel management for 1 of 7 sample patients (#3) (A395). In addition, the hospital administered antipsychotic medication to 1 of 7 sample patients (#3) just prior to discharge without adequate documentation of necessity (A405). This lack of appropriate nursing assessment, monitoring, and nursing care may have contributed to the patient's death within less than 24 hours of discharge. The combined results of these systems failures resulted in the inability of the hospital to meet all of the necessary requirements for the Nursing Services Condition of Participation. |